摘要
目的探讨不同的营养支持对老年呼吸机相关性肺炎的影响。方法将42例老年呼吸机相关性肺炎患者随机分为肠内营养（EN）组21例,给予米汤鼻饲过度到能全力（25~30 kcal/kg·d）;肠外营养（PN）＋EN组21例,按（20~25 kcal/kg.d）配置的静脉营养液和米汤鼻饲过度到能全力（25~30 kcal/kg·d）;连续治疗〉10 d,比较两组患者治疗前后的营养指标,机械通气和ICU住院天数,以及并发症情况。结果 PN＋EN组与EN组比较,两组营养指标差异无统计学意义,但机械通气时间和ICU住院天数缩短,出现误吸、腹泻、腹胀等不良反应明显要少（P〈0.05）。结论早期PN＋EN治疗可以获得足够的营养支持,减少并发症,改善老年呼吸及相关性肺炎患者全身状况和提高免疫力,尽早脱机、拔管,改善预后,降低死亡率。
OBJECTIVE To explore the effect of the different nuturtion support on the incidence of ventilator-associated pneumonia.METHODS 42 elder patients with ventilator-associated pneumonia were randomly divided into two groups,The patients in the group of enteral nutrition（n=21） was given rice water in prophase then given nutrition Fibre（25-30 kcal/kg·d）through nasal feeding,the group of enteral and parenteral nutrition（n=21） was given intravenous nutrition liquid（20-25 kcal/kg·d）and rice water in prophase,then given Nutrision Fibre（25-30 kcal/kg·d）through nasal feeding,both of the two groups were treated continuously for 10 days.Compared the two groups of the nutritional signal before and after the treatment,the days of mechanical ventilation and the length of ICU stay,and the incidence of the compilations.RESULTS There was no significant deviation of the two groups on nutritional signal（P0.05）,compared with the group of enteral nutrition,the days of mechanical ventilation and the length of ICU stay,and the incidence of the adverse reaction（aspiration,diarrhea,abdominal distension and so on） were much less in the group of enteral and parenteral nutrition（P0.05）.CONCLUSION The early enternal and parenteral nutrition can offer enough nutrition support,reduce the complication,improve the general body state of the elderly patients with ventilator-associated pneumonia,increase immunity,take off line and extubate as early as possible,improve the prognosis,and reduce the mortality.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第7期1323-1324,共2页
Chinese Journal of Nosocomiology
关键词
肠外营养
肠内营养
营养支持
老年
呼吸机相关性肺炎
Parenteral-nutrition
Enteral-nutrition
Nuturtion-support
The elder
Ventilator-associated pneumonia
