引用本文:周 斌.营养支持在慢性阻塞性肺部疾病患者治疗中的作用评价[J].中国临床新医学,2009,2(6):619-621.
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营养支持在慢性阻塞性肺部疾病患者治疗中的作用评价
周 斌
541001 广西, 桂林市第二人民医院呼吸内科
摘要:
[摘要] 目的 观察慢性阻塞性肺病(COPD)并发营养不良患者的静脉营养支持效果。方法 将60例COPD患者分为对照组26例和营养组34例,对照组给予抗感染、解痉、平喘、常规饮食等治疗,营养组在对照组治疗的基础上给予营养疗法,根据基础能量消耗(BEE)计算每日的热量供应,选用葡萄糖、氨基酸、多种维生素、微量元素、脂肪乳剂、电解质等肠内营养结合肠外营养的途径治疗2周。结果 营养组VC、FEV1、MMEF、MVV等常规肺功能指标改善程度均明显高于对照组(P<0.05)。结论 对COPD患者尽早给予营养疗法,可改善患者的营养不良状态,提高患者的生活质量和治疗效果。
关键词:  营养支持  阻塞性肺疾病  肺功能
DOI:10.3969/j.issn.1674-3806.2009.06.27
分类号:R 563
基金项目:
The clinical effect of nutritional support treatment on patients with chronic obstructive pulmonary disease
ZHOU Bin
The Second Pepole′s Hospital of Guilin, Guilin 541001, China
Abstract:
[Abstract] Objective To obserre the effect of nutritional support treatment on chronic obstructive pulmonary disease (COPD) patients with malnutrition intravenous.Methods Sixty COPD patients were divided into the control group (26 patient) and nutrition group (34 patients), the control group given anti-infection, spasmolysis, relieving asthma, and other conventional therapy, while nutrition group, on the basis of the conventional therapy received nutritional therapy, the daily calorie supply was figured out, according to the basis energy consumption(BEE), then glucose, amino acid compound, albumin, multi-vitamin were used by enteral and parenteral ways for two weeks. Results VC, FEV1, MMEF, MVV and other conventional indicators of lung function in nutrition group were improved more significantly than that in the control group (P<0.05). Conclusion For patients with COPD using nutritional therapies as soon as possible can improve the state of malnutrition and the quality of life of patients, the clinical effect is remarkable.
Key words:  Nutritional support  Obstructive lung disease  Lung function