摘要
目的评价肠内营养对接受呼吸机患者的临床作用。方法采用随机、对照的实验设计,32例患者分肠内营养(EN)组(11例)、肠外营养(PN)组(10例)和普通组(11例)。EN和PN组患者接受等氮等热量的6天营养支持,普通组仅给予常规输液;对比研究在血气指标、氮平衡、血浆蛋白和临床预后等方面的不同作用。结果EN组和PN组在6天累积氮平衡和血浆前白蛋白的结果相似(P>0.05),与普通组差异有显著性(P<0.05)。血气指标三组结果相似(P>0.05),但EN组略好;肺部感染治愈率EN和PN组结果相似,优于普通组。PN组的营养费用显著高于EN组(P<0.05),并且有穿刺并发症出现。结论综合临床效能,肠内营养是接受呼吸机治疗患者较好的营养支持方法。
Objective To evaluate the effects of enteral nutrition on the patients who were undergoing the ventilator therapy.Methods Thirty two cases were randomized into enteral nutrition(EN)group(11),parenteral nutrition(PN)group (10)and the ordinary group (11).EN and PN groups were given6days nutrition support of isonitrogen ous and isocaloric;the common group was given the routine intravenous therapy.The different effects on blood gas indexes,nitrogen balance,protein of blood plasma and prognosis were compared.Results The EN group had the similar results in6-day accumulated nitrogen balance and blood plasma pro-albumin compared with PN group,had significant differences compared with the ordinary group(P<0.05).The similar blood gas parameters were observed in three groups,but the EN group had the best parameters.The lung infection rates were similar in former two groups,better than the ordinary group.The nutrition cost of PN group was significantly higher than EN group(P<0.05)and had the puncture complications.Conclusion As far as the clinical effects were concerned,enteral nutrition was a better nutrition support approach for the patients who were undergoing ventilator therapy.
出处
《中国临床营养杂志》
2002年第2期106-108,共3页
Chinese Journal of Clinical Nutrition
