【摘要】 目的探讨肠内营养治疗慢性阻塞性肺疾病并发呼吸衰竭的临床价值。方法选择本院慢性阻塞性肺疾病并发呼吸衰竭患者70例,随机分为两组,各35例,观察组行胃肠内营养,对照组则实施深静脉途径完全胃肠外营养,比较两组患者治疗后5 d生化指标、感染情况及血气分析结果。结果观察组血红蛋白、血糖、总胆固醇、三酰甘油和高密度脂蛋白均高于对照组(P<0.05),低密度脂蛋白低于对照组(P<0.05),出现导管感染、尿路感染和真菌感染比率低于对照组(P<0.05),pH高于对照组(P<0.05),PCO2低于对照组(P<0.05),PO2高于对照组(P<0.05)。结论肠内营养更有利于维持患者胃肠道功能,提高抵抗力,减少感染概率,提高治疗效果。更多还原

【Abstract】 Objective To explore the clinical value of enteral nutrition for chronic obstructive pulmonary disease(COPD)complicated with respiratory failure. Methods 70 cases of COPD patients with respiratory failure were divided into two groups, with 35 cases in each group, the observation group was given enteral nutrition, the control group was given total parenteral nutrition by venae profundae, 5d after treatment, infection biochemistry and blood gas were analyzed in the two groups. Results In the observation group, hemoglobin, blood glucose, total cholesterol, triglyceride and high density lipoprotein were higher than control group(P<0.05), low density lipoprotein was lower than control group(P<0.05), catheter infection, urinary infection and the amount of fungal infection rate were lower than control group( P<0.05), pH was higher than control group(P<0.05), PCO2was lower than control group(P<0.05), PO2was higher than control group(P<0.05). Conclusion Enteral nutrition is more conducive to maintenance of gastrointestinal function and it can improve patients′ resistance and reduce risk of infection, so it can improve the therapeutic effect.更多还原