摘要
目的探讨使用肠内营养支持对孤残儿童支气管肺炎治疗的效果,为临床应用提供应用依据。方法取随机抽样方法抽取2013年1月-2015年6月乌鲁木齐市儿童福利院孤残儿童肺炎患儿92例作为研究对象,将患儿使用随机数字的方法分为试验组（实施肠内营养）50例和对照组（未实施肠内营养）42例。收集治疗前后的营养状况、并发症发生情况、痊愈时长等信息,使用SPSS 21.0进行统计分析。结果 （1）试验组与对照在治疗前的血红蛋白、钙、铁、锌的含量上无差异（P〉0.05）;而在治疗结束时,钙、铁、锌的含量试验组要明显高对照组,差异有统计学意义（P〈0.05）;（2）两组患者并发症发生率上有显著统计学意义,试验组的发生率为35.30%明显低于对照组的70.40%（P〈0.05）;（3）试验组痊愈所需时间平均为12.96±1.89天,对照组平均需要16.69±3.76天,经生存分析结果发现两组差异有统计学意义（Log Rank=36.209,p=0.000）。结论我们认为使用肠内营养结合肠外营养方式对孤残儿童支气管肺炎的治疗是有积极的效果的,可以有效提升患儿的营养素水平、减少并发症的发生以及痊愈所需要时长。
Objective To explore effects of enteral nutrition support on orphans and disabled children with bronchial pneumonia, and to provide a practical basis for clinical application. Methods 92 cases hospitalized in children＇s Welfare Institute of Urumqi from Jan2013 to June 2015 were selected as research object. All cases were randomly divided into experimental group（50 cases） and control group（42 cases）. In the experimental group, enteral nutrition（EN） was given. In control group, they did not proceed enteral nutrition（EN）.Nutritional status, complications, recovery time and other information were compared by using SPSS 21 statistical analysis. Results（1）Hemoglobin, calcium, iron and zinc levels in two groups before treatment were not different（P〉0.05）; But at the end of treatment, the levels of calcium, iron and zinc in experimental groups were significantly higher than those in control group, the differences were statistically significant.（2） Incidence of complications in experimental group was 35.30% and it was significantly lower than that in the control group which was 70.40%（P〈0.05）;（3） Average recovery time in experimental group was 12.96±1.89 days, and in control group it was 16.69±3.76. There were significant different in two groups. Survival analysis showed that in two groups there was a statistical different（Log Rank=36.209 p=0.000）. Conclusion Use of enteral nutrition combined with parenteral nutrition for orphans and disabled children who underwent bronchial pneumonia has a positive effect. It can effectively improve the children＇s nutrient levels and reduce the complications and recovery time.
出处
《新疆医学》
2016年第3期302-304,共3页
Xinjiang Medical Journal
关键词
孤残儿童
肠内营养
支气管肺炎
治疗效果
Disabled children
Enteral nutrition
Bronchial pneumonia
Curative effect
