郑州大学学报（医学版）Issue(1)：77-79,3.DOI:10.3969/j.issn.1671-6825.2014.01.021
肠内营养支持对呼吸机相关性肺炎患者预后的影响
Effect of enternal nutrition support on prognosis of patients with ventila-tor-associated pneumonia
摘要
Abstract
Aim:To observe the effect of enternal nutrition ( EN) support on prognosis of patients with ventilator-asso-ciated pneumonia(VAP).Methods: A total of 60 VAP patients were randomly divided into EN group and normal diet group,30 in each group.Serum hemoglobin,total protein,album and prealbum levels of the patients were detected on Day 1, 7 and 14 during the trial,and the weaning time and offline success rate were observed .Results: The serum hemoglobin levels of the two groups did not change much (Ftime =0.339, Fgroup =1.030, P>0.05);the serum total protein, albumin, and prealbumin levels increased with time (Ftime =23.868,8.528,6.613,P<0.01), and there was no significant differ-ence in the total protein level between the two groups (Fgroup =0.491, P=0.486), while the albumin and prealbumin lev-els of EN group were higher than those of normal diet group (Fgroup =24.880, 7.554,P<0.01).The weaning time of EN group was (7.6 ±0.8) d,shorter than (10.3 ±1.0) d of the normal diet group(t=13.279,P<0.001);offline success rate within 2 weeks of EN group was 66.7%,higher than 36.7% of normal diet group(χ2 =5.406,P=0.020).Conclu-sion:EN can enhance the nutritional status of patients with VAP and improve the prognosis .关键词
呼吸机相关性肺炎/营养支持/肠内营养Key words
ventilator-associated pneumonia/nutrition support/enternal nutrition分类
医药卫生引用本文复制引用
王晓东,陈改云,梁锐..肠内营养支持对呼吸机相关性肺炎患者预后的影响[J].郑州大学学报（医学版）,2014,(1):77-79,3.基金项目
河南省卫生厅科技攻关项目201203032；郑州市科技局基金资助项目0910SGYS33389-13 （）
