CAJ | 학술논문

目的探讨早期肠内营养在慢性阻塞性肺疾病(chronicobstruetive pulmonarydisase)急性加重期患者治疗中的护理干预.方法将慢性阻塞性肺疾病(COPD)急性加蓖期患者60例随机分为试验组和对照组.于入院后24h内分别给予鼻饲肠内营养支持和普通鼻饲饮食,两组患者分别于入院第1天及21天测定血清总蛋白质、血清白蛋白、血红蛋白含量.并观察营养指标的变化和呼吸功能变化.结果 21天后,肺功能和血气检查,试验组的FVC、FEV/FVC及PaO2有明显改善(P<0.05),试验组的营养指标亦显著优于对照组.结论早期肠内营养是COPD患者的一项重要治疗措施,良好细致的护理是保证其成功实施的关键.
목적 탐토조기장내영양재만성조새성폐질병(chronicobstruetive pulmonarydisase)급성가중기환자치료중적호리간예.방법 장만성조새성폐질병(COPD)급성가비기환자60례수궤분위시험조화대조조.우입원후24h내분별급여비사장내영양지지화보통비사음식,량조환자분별우입원제1천급21천측정혈청총단백질、혈청백단백、혈홍단백함량.병관찰영양지표적변화화호흡공능변화.결과 21천후,폐공능화혈기검사,시험조적FVC、FEV/FVC급PaO2유명현개선(P<0.05),시험조적영양지표역현저우우대조조.결론 조기장내영양시COPD환자적일항중요치료조시,량호세치적호리시보증기성공실시적관건.
Objective To investigate the nursing interventions of early enteral nutrition in patients with acute exacerbation of chronic obstructive pulmonary disease(COPD).Methods Sixty patients of COPD were randomly divided into experimental group and control group.They were received enteral nutrition via-nasogastric tube and ordinary nasal feeding respectively within 24 hours after admission.The levels of total protein of serum,serum album,haematoglobin in both groups were detected on the first day and the 21th day respectively the nutritive index and the respiratory function were observerl.Resulte Measurements of pulmonary function and arterial blood gas:FVC,FEC1/FVC,PaO2 in the experimental group were significantly improved (P < 0.05) after 21 days' therapy .The nutritive index of the experimental group was also significantly better than that of the control group.Concliisions Early enteral nutritional support is very useful in the treatment for patients with COPD.High quality nursing is important for the implementation of enteral nutrion