摘要
目的:分析比较肠内(EN)与肠外营养(PN)对机械通气病人的影响。方法:132例机械通气的病人按营养方式不同随机分为EN组(给予常规治疗+EN支持)和PN组(给予常规治疗+PN支持),每组各66例。观察病人治疗前后氮平衡、血清清蛋白、前清蛋白、免疫球蛋白、最大吸气压和病人主要脱机指数等指标。结果:EN组病人血清清蛋白、前清蛋白、IgA、IgG显著高于PN组(P<0.05)。最大吸气压、潮气量、呼吸频率等亦明显优于PN组(P<0.05)。结论:及时合理的肠内营养支持治疗有助于改善机械通气病人的免疫功能,提高综合治疗的疗效。
Objective： To evaluate the effection of different nutritional support treatment in patients with mechanical ventilation. Mthods：132 patients using mechanical ventilation were randomly divided into enteral nutrition group （EN） and parentaral nutrition group（PN）. The changes serum levels of albumin, pre-albumin, immunoglobulin, maximum inspiratary pressure and index of ventilator weaning were observed. Results： Serum albumin, IgA, IgG and tidal volume were significantly higher in EN group than those in PN group （ P 〈 0.05 ）. Conclusion ： In mechanical ventilated patients, timely and reasonable enteral nutrition support is helpful to improve the immune function and the whole treatment effectiveness.
出处
《肠外与肠内营养》
CAS
北大核心
2011年第5期295-297,共3页
Parenteral & Enteral Nutrition
关键词
机械通气
肠内营养
肠外营养
Mechanical ventilation
Enteral nutrition
Parentaral nutrition
