摘要
目的探讨营养支持在老年胸外伤机械通气患者中的应用。方法将48例老年胸外伤机械通气患者随机分为两组，治疗组24例，给予早期肠内加肠外营养支持，对照组24例，给予全肠外营养支持，观察两组营养指标、机械通气时间及并发症（腹胀、肠麻痹、胃肠道出血、二重感染、肝功能异常以及高血糖）发生率。结果两组均达到营养支持效果，但对照组机械通气时间和并发症发生率明显高于治疗组（P〈0．01）。结论对老年胸外伤机械通气患者实施早期肠内加肠外营养支持，可改善患者营养状况，减少并发症发生，促进患者康复。
Objective To study the effect of nutrition supports in aged mechanically ventilated patients following thracic trauma. Methods 48 aged mechanically ventilated patients following thracic trauma were randomly divided into two groups, patients in treatment group（ n = 24 ） received EEN and PN ,control group（ n = 24 ） only received TPN. Compared the nutritional index, time of mechanical ventilation and compared the complications such as windy, intestine paralysis, alimentary tract heorrhage, second heavy infection, hypohepatia and high blood glucose. Results The nutritional index between treatment group and control group had no statistical difference,but the time of mechanical ventilation and the ratio of the complications in control group were higher than that in-treatment group （ P （ 0.01 ）. Conclusion EEN and PN can improve nutritional condition, have less complications, promoting the patient recovers form illness.
出处
《中国基层医药》
CAS
2008年第6期911-912,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
胸部损伤
营养支持
呼吸
人工
老年人
Thoracic injuries
Nutritional support
Respiration, artificial
Aged
