期刊文献+

低糖高脂肪营养支持治疗慢性阻塞性肺病并发呼吸衰竭患者的临床疗效观察 被引量:19

Observing clinical curative effects of low carborhydrate and high fat enteral nutrition in chronic obstructive pulmonary disease(COPD) patients complicated by respiratory failure
在线阅读 下载PDF
导出
摘要 目的:评价低糖高脂肪营养支持治疗慢性阻塞性肺病(Chronic obstructive pulmonary disease,COPD)并发呼吸衰竭患者的临床疗效。方法:将60例COPD并发呼吸衰竭患者随机分成2组:研究组30例,对照组30例。2组均予抗感染、吸氧、解痉平喘、化痰、纠正酸碱失衡及电解质紊乱等治疗。研究组予低糖高脂肪营养支持,对照组予传统营养支持,疗程10 d。在研究前1 d、研究后10 d分别对2组患者进行血气分析指标、呼吸功能状况测定。结果:研究组在血气分析指标、呼吸功能状况方面改善情况均较对照组有显著性差异(P<0.05)。结论:低糖高脂肪营养支持治疗可明显改善COPD并发呼吸衰竭患者的症状和体征,明显改善人体血气分析和肺功能,对纠正呼吸衰竭有良好疗效。 Objective:to evaluate clinical curative effects of low carborhydrate and high fat enteral nutrition in chronic obstructive pulmonary disease(COPD) patients complicated by respiratory failure.Methods:60 patients with COPD patients complicated by respiratory failure were randomly divided into two groups(people in the treatment group and the control group are all 30).Anti-infection,oxyen inhalation,spasmolysis and anti-asthma,eliminating phlegm,correcting acid-base inbalance and electrolyte disorder and so on were used in both groups.The treatment group were given low carborhydrate and high fat enteral nutrition support,while the control group were given traditional nutritional support for 10 days.When one day before and 10 days after the study,blood gas analysis index,respiratory function condition were determined in the two groups of patients.Results:The levels of blood gas analysis index,respiratory function condition in the treatment group were increased significantly as compared with the control group(P〈0.05).Conclusion:Low carborhydrate and high fat enteral nutrition support can evidently improve the signs and symptoms of the COPD patients concurrent respiratory failure.Can also obviously improve human blood gas analysis and lung function.It has a good curative effect in correcting respiratory failure.
出处 《重庆医科大学学报》 CAS CSCD 北大核心 2011年第10期1274-1276,共3页 Journal of Chongqing Medical University
关键词 肠内营养 低糖高脂肪营养液 呼吸商 慢性阻塞性肺病 呼吸衰竭 enteral nutrition low carborhydrate and high fat respiratory quotient chronic obstructive pulmonary disease(COPD) respiratory failure
  • 相关文献

参考文献6

二级参考文献27

共引文献1859

同被引文献133

  • 1王宏星,华文进,夏艳,邵少英.低糖高脂肠内营养联合肠外营养对机械通气慢性阻塞性肺病患者营养支持的疗效分析[J].上海交通大学学报(医学版),2011,31(11):1628-1631. 被引量:19
  • 2慢性阻塞性肺疾病诊治指南(2007年修订版)[J].中华结核和呼吸杂志,2007,30(1):8-17. 被引量:8245
  • 3马建忠,潘华飞,祁瑛.慢性阻塞性肺病加重期患者早期肠内营养支持研究[J].中国慢性病预防与控制,2007,15(5):449-451. 被引量:14
  • 4Zheng T,Zhu Z,Wang Z, et al. Inducible targeting of IL- 13 to the adult lung causes matrix metalloproteinase-and cathepsin-dependent emphysema[J]. J Clin Invest, 2000, 106(9) : 1081-1093.
  • 5Matsumura T,Mitani Y,Oki Y,et al.Comparison of Geri- atric Nutritional Risk Index scores on physical perfor- mance among elderly patients with chronic obstructive pulmonary disease[J].Heart Lung,2015,44(6):534-538.
  • 6Yoshikawa M, Fujita Y, Yamamoto Y, et al. Mini Nu- tritional Assessment Short-Form predicts exacerbation fre- quency in patients with chronic obstructive pulmonary disease[J].Respirology, 2014, 19(8). 1198-1203.
  • 7Collins PF,Elia M,Stratton RJ.Nutritional support and functional capacity in chronic obstructive pulmonary dis- ease: a systematic review and meta-analysis[J].Respirolo- gy, 2013,18(4). 616-629.
  • 8Grigorakos L,Sotiriou E,Markou N,et al. Combined nu- trltional support in patients with chronic obstructive pulmonary disease (COPD), under mechanical ventila- tion (MV) [J]. Hepatogastmentemlosy, 2009,56(96):1612-1614.
  • 9Ferreira IM, Brooks D, White J, et al. Nutritional supplementation for stable chronic obstructive pulmonary disease. Cochrane Data- base Syst Rev ,2012, doi : 10. 1002/14651858. CD000998. pub3.
  • 10Imoberdorf R1, Meier R, Krebs P, et al. Prevalence of undernutri-tin on admission to Swiss hospitals. Clin Nutr,2010,29( 1 ) :38- 41.

引证文献19

二级引证文献120

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部