| 唐志强 贾柳 刘洋 郜杨 于凯江 吴德全.早期肠内营养和肠外营养对ICU中重症肺炎患者预后的影响[J].,2014,14(30):5880-5883 |
| 早期肠内营养和肠外营养对ICU中重症肺炎患者预后的影响 |
| Effact of Early Enteral Nutrition and Total Parenteral Nutritionin theTreatment for Patients with Severe Pneumonia in ICU |
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| DOI： |
| 中文关键词: 重症肺炎 肠内营养 肠外营养 |
| 英文关键词: Enteral nutrition Severe pneumonia Efficacy |
| 基金项目: |
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| 中文摘要: |
| 目的：研究早期肠内和肠外营养对ICU 中重症肺炎患者预后的影响。方法：选取2013 年1 月-2014年1 月我院重症医学科
60 例重症肺炎患者随机分为肠内营养组30 例（enteral nutrition，EN 组）和完全肠外营养支持组30 例（total parenteral nutrition，
TPN 组），经过营养支持治疗后，将两组的免疫、营养以及有创机械通气的时间等指标进行比较。结果：肠内营养组与肠外营养组
对比发现，在第5 天、第10 天EN组血清免疫球蛋白和T细胞亚群细胞数显著升高(P<0.05)；血红蛋白(HGB)、白蛋白(ALB)和血
清前白蛋白(PAB)明显升高(P<0.05)；有创机械通气时间缩短（P<0.05），差异具有统计学意义。结论：ICU 中重症肺炎应选择肠内营
养支持方式，肠内营养能有效的改善营养状态，并能改善患者的免疫功能，减少有创机械通气时间。 |
| 英文摘要: |
| Objective:To evaluate the effact of early enteral nutrition and total parenteral nutritionin support for the treatment of
patients with severe pneumonia in ICU;Methods:60 cases of patients with severe pneumonia were collected from january 2013 to January
2014 in our hospital. They were randomly divided into two groups, enteral nutrition group of 30 cases(EN group) and parenteral nutrition
group of 30 cases(TPN group). The immune status, nutritionan status and the time of ventilation were detected and comparison before
intertion on the fifth days, tenth day after intervention.Results:Serum immunoglobulin IgA, IgG, IgMlevels and perigperal blood T
lympgocyte subsets in EN group were hiher than TPN (P<0.05). Hemoglobin and albumin levels were significantly higher than the parenteral
nutrition group after the tenth day of treatment (P<0.05). The time of ventilation of EN group were shorter than TPN group.Conclusion:Enteral nutrition support therapy in the treatment of patients with severe pneumonia was crucially benefic in promoting the rehabilitation
of patients. |
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