中国医药
中國醫藥
중국의약
CHINA MEDICINE
2013年
6期
811-812
,共2页
腹泻%肠道营养%微生物调节剂%谷氨酰胺
腹瀉%腸道營養%微生物調節劑%穀氨酰胺
복사%장도영양%미생물조절제%곡안선알
Diarrhea%Enteral nutrition%Microbial regulator%Glutamin preparation
目的 探讨微生态调节剂联合谷氨酰胺对老年患者肠内营养相关性腹泻的预防作用.方法 选取行肠内营养治疗患者75例,完全随机分为观察组(42例)和对照组(33例).2组患者均予鼻饲肠内营养混悬液和微生态制剂,前者用量为100 ml/h开始重力滴注,500 ml/d,直至供给全量；2组未静脉滴注抗生素者均选用双歧四联活菌片1.5g/次,3次/d,静脉滴注抗生素者选用乳酸菌素片2.4g/次,3次/d,观察组同时给予谷氨酰胺1.0g/次,3次/d.疗程1周.观察2组患者腹泻发生率和肠内营养达到目标供给量的时间.结果 观察组和对照组患者腹泻发生率分别为9.5％ (4/42)和24.2％ (8/33),差异有统计学意义(x2=5.469,P=0.019).观察组患者肠内营养液达到目标供给量时间为(3.4±1.0)d,小于对照组(4.7±1.5)d,差异有统计学意义(t=4.386,P=0.002).结论 在肠内营养治疗的老年患者中,适量添加微生态调节剂及谷氨酰胺,可明显减少腹泻的发生,利于肠内营养治疗的顺利进行.
目的 探討微生態調節劑聯閤穀氨酰胺對老年患者腸內營養相關性腹瀉的預防作用.方法 選取行腸內營養治療患者75例,完全隨機分為觀察組(42例)和對照組(33例).2組患者均予鼻飼腸內營養混懸液和微生態製劑,前者用量為100 ml/h開始重力滴註,500 ml/d,直至供給全量；2組未靜脈滴註抗生素者均選用雙歧四聯活菌片1.5g/次,3次/d,靜脈滴註抗生素者選用乳痠菌素片2.4g/次,3次/d,觀察組同時給予穀氨酰胺1.0g/次,3次/d.療程1週.觀察2組患者腹瀉髮生率和腸內營養達到目標供給量的時間.結果 觀察組和對照組患者腹瀉髮生率分彆為9.5％ (4/42)和24.2％ (8/33),差異有統計學意義(x2=5.469,P=0.019).觀察組患者腸內營養液達到目標供給量時間為(3.4±1.0)d,小于對照組(4.7±1.5)d,差異有統計學意義(t=4.386,P=0.002).結論 在腸內營養治療的老年患者中,適量添加微生態調節劑及穀氨酰胺,可明顯減少腹瀉的髮生,利于腸內營養治療的順利進行.
목적 탐토미생태조절제연합곡안선알대노년환자장내영양상관성복사적예방작용.방법 선취행장내영양치료환자75례,완전수궤분위관찰조(42례)화대조조(33례).2조환자균여비사장내영양혼현액화미생태제제,전자용량위100 ml/h개시중력적주,500 ml/d,직지공급전량；2조미정맥적주항생소자균선용쌍기사련활균편1.5g/차,3차/d,정맥적주항생소자선용유산균소편2.4g/차,3차/d,관찰조동시급여곡안선알1.0g/차,3차/d.료정1주.관찰2조환자복사발생솔화장내영양체도목표공급량적시간.결과 관찰조화대조조환자복사발생솔분별위9.5％ (4/42)화24.2％ (8/33),차이유통계학의의(x2=5.469,P=0.019).관찰조환자장내영양액체도목표공급량시간위(3.4±1.0)d,소우대조조(4.7±1.5)d,차이유통계학의의(t=4.386,P=0.002).결론 재장내영양치료적노년환자중,괄량첨가미생태조절제급곡안선알,가명현감소복사적발생,리우장내영양치료적순리진행.
Objective To study the preventive effect of combined microecological and glutamin preparation on enteral nutriton (EN) related diarrhea in elderly patients.Methods Seventy-five ederly patients with EN were divided into treatment group(n =42) and control group(n =33) at random.All patients were fed with nutrion fiber.Treatment group was given with combined microecological and glutamin.Control group was givern microecological.The incidence rate of diarrhea,and the time to reach standard amount were recorded.Results The incidence rate of diarrhea was 9.5％ (4/42) in the treatment group and the incidence rate of diarrhea in the control group was 24.2％ (8/33)(x2 =5.469,P =0.019).The time to reach the standard amount in the treatment group was (3.4 ± 1.0) d and significantly less than that in the control group [(4.7 ± 1.5) d] (t =4.386,P =0.002).Conclusion In the remedial process of elderly patients with EN,it is valuable to add right amount of combined microecological and glutamin preparation which can significantly decrease the rate of diarrhea and be of value to EN treatment in elderly patients.
