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早期序贯性营养支持治疗 AECOPD 合并Ⅱ型呼吸衰竭

刘少甜 王建 吴燕娟

局解手术学杂志2016,Vol.25Issue(7):503-506,4.
局解手术学杂志2016,Vol.25Issue(7):503-506,4.DOI:10.11659/jjssx.03E016075

早期序贯性营养支持治疗 AECOPD 合并Ⅱ型呼吸衰竭

Effectiveness observation of early sequential nutrition support in the treatment of AECOPD patients with typeⅡ respiration failure

刘少甜 1王建 2吴燕娟1

作者信息

  • 1. 解放军第422 医院呼吸内分泌科,广东 湛江524005
  • 2. 第三军医大学新桥医院营养科,重庆400037
  • 折叠

摘要

Abstract

Objective To observe the clinical effectiveness of early sequential nutrition support (ESN)in the treatment of acute exacer-bation of chronic obstructive pulmonary disease (AECOPD)patients complicated with type Ⅱ respiration failure.Methods Eighty-four AE-COPD patients with type Ⅱ respiration failure were enrolled into our study and received the conventional therapies such as mechanical venti-lation,anti-infection,spasmolysis and asthma control.Patients were randomized assigned into the ESN group (n =42)and the total parenteral nutrition group (TPN,n =42)according to the nutritional care methods,and the clinical effectiveness were observed.Results Clinical symptoms were significantly improved in both of the two groups.However,the total effective rate,average length of stay,pulmonary function, triceps skinfold thickness (TSF)and serum albumin levels were significantly better in the ESN group,and the differences were ofstatistical significance (P <0.05).Conclusion The study comfirmed the necessity of ESN application on the AECOPD patients with type Ⅱ respira-tion failure,which can further improve the treatment effectiveness and nutrition status.

关键词

慢性阻塞性肺疾病急性加重/Ⅱ型呼吸衰竭/早期序贯性营养支持/临床护理

Key words

AECOPD/type Ⅱ respiration failure/early sequential nutrition support/clinical nursing

分类

医药卫生

引用本文复制引用

刘少甜,王建,吴燕娟..早期序贯性营养支持治疗 AECOPD 合并Ⅱ型呼吸衰竭[J].局解手术学杂志,2016,25(7):503-506,4.

基金项目

“十一五”国家科技支撑计划项目子课题(2009BAI80B04);军队后勤科研指令性计划项目子课题 ()

局解手术学杂志

OACSTPCD

1672-5042

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