CAJ | 학술논문

目的探讨高龄伴吞咽困难患者采用高能型肠内营养乳剂与普通鼻饲流质治疗方案疗效的差异性.方法选取2011年1月至2012年12月就诊于佛山市第一人民医院康复科的142例高龄患者作为观察对象,根据住院号随机将患者分为观察组(78例)和对照组(64例),观察组采用肠内营养乳剂提供营养支持疗法,对照组予以普通鼻饲流质.观察两组治疗前后血清各蛋白的差异性,评价患者细胞免疫指标.结果两组患者治疗4周后的肱三头肌皮褶厚度、上臂肌围、体质量指数和血清总蛋白、血红蛋白均有所增加,免疫学数据CD3+、CD4+、CD4+/CD8+均有显著提高,而观察组各项指标均优于对照组,差异均有统计学意义(P＜0.05).结论高龄伴吞咽困难患者予以肠内营养乳剂辅助康复治疗,安全性、有效性好,值得临床进一步推广应用.
목적 탐토고령반탄인곤난환자채용고능형장내영양유제여보통비사류질치료방안료효적차이성.방법 선취2011년1월지2012년12월취진우불산시제일인민의원강복과적142례고령환자작위관찰대상,근거주원호수궤장환자분위관찰조(78례)화대조조(64례),관찰조채용장내영양유제제공영양지지요법,대조조여이보통비사류질.관찰량조치료전후혈청각단백적차이성,평개환자세포면역지표.결과 량조환자치료4주후적굉삼두기피습후도、상비기위、체질량지수화혈청총단백、혈홍단백균유소증가,면역학수거CD3+、CD4+、CD4+/CD8+균유현저제고,이관찰조각항지표균우우대조조,차이균유통계학의의(P＜0.05).결론 고령반탄인곤난환자여이장내영양유제보조강복치료,안전성、유효성호,치득림상진일보추엄응용.
Objective To investigate the treatment differences of elderly patients with dysphagia by high energy enteral nutritional emulsion and ordinary nasogastic liquid.Methods The 142 elderly patients from January 2011 to December 2012 in physiatry department of our hospital were chose as research object,according to the hospitalized number,the patients were randomly divided into observation group (78 cases) and control group (64 cases),in observation group,nutritional support therapy was given by enteral nutritional emulsion,patients in control group were given ordinary nasogastic liquid therapy.The serum protein differences in two groups were observed before and after treatment,cellular immunity indeses in patients were evaluated.Results After 4 weeks treatment,TSF,AMC,BMI and ALB,Hb increased in two groups,immunological data such as CD3 +,CD4 +,CD4 +/CD8 + significantly improved,and the indexes in observation group were better than those in control group,the differences were statistically significant (P ＜ 0.05).Conclusions For elderly patients with dysphagia,enteral nutritional emulsion adjuvant therapy is safe,and effective,it is worthy of further clinical application.