【摘要】 目的分析不同置管方式对慢性阻塞性肺疾病(COPD)患者肠内营养支持并发症及营养状态的影响。方法选取2018年1月～2019年12月我院收治的60例行肠内营养支持的COPD患者进行研究,根据随机数字表法分成对照组(于鼻胃置管下开展肠内营养支持)和观察组(于鼻空肠置管下开展肠内营养支持),各30例,观察两组入院1 d和入院14 d的上臂肌围、血清清蛋白、血红蛋白及前清蛋白水平与并发症发生率。结果入院1 d,两组上臂肌围、血清清蛋白、血红蛋白和前清蛋白水平比较,差异无统计学意义(P>0.05);入院14 d,观察组上臂肌围长于本组入院1 d时及对照组,血清清蛋白、血红蛋白及前清蛋白水平高于本组入院1 d时及对照组,差异有统计学意义(P<0.05)。观察组腹胀、腹泻、呕吐、反流以及胃内容物潴留等并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论对行肠内营养支持的COPD患者开展鼻空肠置管较鼻胃置管并发症更少,能改善患者的营养状态,是一种有效安全、操作简单的置管方法。更多还原

【Abstract】 Objective To analyze the influence of enteral nutrition support via different catheterization modes on the complications and nutritional status of COPD(chronic obstructive pulmonary disease) patients. Methods A total of 60 patients with COPD who received enteral nutrition support in our hospital from January 2018 to December 2019 were selected for research. According to random number table, patients were assigned to control group(via nasogastric tube,n=30) and observation group(via nasal jejunal feeding tube, n=30). Upon 1 d and 14 d of admission, arm muscle circumference, serum albumin, hemoglobin, and prealbumin levels and complication rate were counted. Results Upon 1 d of admission, arm muscle circumference, serum albumin, hemoglobin and prealbumin levels between groups were not significantly different(P>0.05); upon 14 d of admission, arm muscle circumference in the observation group was longer than that of control group; serum albumin, hemoglobin and prealbumin levels in the observation group were higher than those of control group, with statistically significant differences(P<0.05); the incidence rate of complications like abdominal distension, diarrhea, emesis, regurgitation and gastric content retention in the observation group was lower than that of control group, with statistically significant difference(P<0.05). Conclusion Introducing nasal jejunal catheterization for COPD patients with enteral nutrition support has fewer complications than nasogastric catheterization, which can improve the nutritional status of patients. It is an effective and safe, simple operation method of catheterization.更多还原