CAJ | 학술논문

目的：探讨重症肺结核机械通气患者中应用高能量营养乳剂肠内营养支持(EN)的效果。方法将64例行机械通气的重症肺结核患者随机分为观察组与对照组,各32例。对照组予以普通营养液能全力进行EN,观察组应用高能量密度营养乳剂瑞高进行EN,比较两组治疗前后的呼吸功能指标与血营养指标。结果 EN治疗后观察组的血液营养指标(IgA、IgG、TLC、PA、ALB及TLC)均显著高于对照组(<0.05),呼吸功能指标(PCO2、VCO2及VE)均显著低于对照组(<0.05)；观察组的机械通气时间与住ICU时间均较对照组显著缩短(<0.05)。结论在重症肺结核机械通气患者中应用高能量营养乳剂进行EN能够改善患者的营养状态与呼吸功能,缩短机械通气时间与住ICU时间,改善临床预后,值得推广应用。
목적：탐토중증폐결핵궤계통기환자중응용고능량영양유제장내영양지지(EN)적효과。방법장64례행궤계통기적중증폐결핵환자수궤분위관찰조여대조조,각32례。대조조여이보통영양액능전력진행EN,관찰조응용고능량밀도영양유제서고진행EN,비교량조치료전후적호흡공능지표여혈영양지표。결과 EN치료후관찰조적혈액영양지표(IgA、IgG、TLC、PA、ALB급TLC)균현저고우대조조(<0.05),호흡공능지표(PCO2、VCO2급VE)균현저저우대조조(<0.05)；관찰조적궤계통기시간여주ICU시간균교대조조현저축단(<0.05)。결론재중증폐결핵궤계통기환자중응용고능량영양유제진행EN능구개선환자적영양상태여호흡공능,축단궤계통기시간여주ICU시간,개선림상예후,치득추엄응용。
Objective To investigate the ef icacy of enteral nutrition (EN) of high-energy density nutrition emulsions in treatment of severe pulmonary tuberculosis patients with mechanical ventilation. Methods 64 severe pulmonary tuberculosis patients with mechanical ventilation were randomly divided into observation group and control group, 32 cases in each. The control group received general nutrition EN, the observation group received high-energy density nutrition emulsions EN,the Respiratory function parameters and blood nutrition indicators of the two groups were compared. Results After treatment observation group EN blood nutrition indicators (IgA, IgG, TLC, PA, ALB and TLC) were significantly higher ( <0.05), respiratory function parameters (PCO2, VCO2 and VE) were significantly lower than the control group ( <0.05);duration of mechanical ventilation and ICU stay in observation group was significantly shorter than the control group ( <0.05). Conclusion Hhigh-energy density nutrition emulsions EN in treatment of severe pulmonary tuberculosis patients with mechanical ventilation can improve the nutritional status and respiratory function in patients with shortened duration of mechanical ventilation and ICU stay, improved clinical outcomes, should be widely applied.