CAJ | 학술논문

目的：观察营养支持对慢性阻塞性肺疾病急性加重期机械通气患者的临床疗效。方法将2012年10月~2013年8月由我院收治的62例COPD急性加重期机械通气患者随机分成两组，对照组接受肠内营养(EN)治疗，观察组给予肠外营养(PN)+EN治疗。比较两组营养支持指标、住院时间、撤机时间和VAP发生率。结果实施营养支持7d后，两组患者的血清前蛋白、白蛋白较对照组明显增加，血尿素氮明显下降(<0.05)；观察组的住院时间、撤机时间和VAP发生率均低于对照组，与对照组相比差异有显著性(<0.05)。结论肠内加肠外营养支持能改善AECOPD机械通气患者的营养状态，更有利于患者的恢复。
목적：관찰영양지지대만성조새성폐질병급성가중기궤계통기환자적림상료효。방법장2012년10월~2013년8월유아원수치적62례COPD급성가중기궤계통기환자수궤분성량조，대조조접수장내영양(EN)치료，관찰조급여장외영양(PN)+EN치료。비교량조영양지지지표、주원시간、철궤시간화VAP발생솔。결과실시영양지지7d후，량조환자적혈청전단백、백단백교대조조명현증가，혈뇨소담명현하강(<0.05)；관찰조적주원시간、철궤시간화VAP발생솔균저우대조조，여대조조상비차이유현저성(<0.05)。결론장내가장외영양지지능개선AECOPD궤계통기환자적영양상태，경유리우환자적회복。
Objective To explore the clinical value of nutritional support in treating AECOPD patients with mechanical ventilation. Methods 62 AECOPD patients with mechanical ventilation in our hospital were divided randomly into control group (n=31) and the observing group (n=31), the control group was given EN support, while the observing group was accepted PN+EN support . The nutrition support indicators, hospital stays, weaning time, incidence of VAP was compared between two groups. Results After nutritional support for 7 days, It is significantly statistical to compare pro-albumen, albumin, BUN , hospital stays, weaning time, incidence of VAP between two groups( <0. 05) . Conclusion PN+EN support can improve the state of nutrition of AECOPD patients with mechanical ventilation, which is beneficial to the patiens recovery.