瑞代对脑梗死后需有创机械通气的吸入性肺炎患者血清白蛋白水平的影响

Effects of new enteral nutrition emulsion Fresubin diabetes on serum albumin levels of patients of aspiration pneumonia after cerebral infarction with invasive mechanical ventilation

目的探讨早期应用肠内营养乳剂瑞代支持治疗脑梗死后吸入性重症肺炎合并呼吸衰竭需有创机械通气患者的过程中,对患者血清白蛋白水平的影响。方法对70例重症脑梗死后吸入性肺炎合并呼吸衰竭需有创机械通气的患者随机分为治疗组和对照组,每组35例。治疗组早期应用瑞代肠内营养乳剂并持续支持治疗,对照组按传统方法鼻饲流质饮食,其余综合治疗两组无差异。结果治疗组低蛋白血症发生率明显低于对照组(P<0.05)。结论重症吸入性肺炎需有创机械通气的患者应用瑞代可减少低蛋白血症的发生。

Objective To investigate effects of the early enteral nutrition emulsions Fresubin diabetes on serum albumin levels of patients of aspiration pneumonia after cerebral infarction,who need support for the treatment of severe pneumonia with respiratory failure required record in the process of mechanically ventilated.Methods Totally 70 cases of severe aspiration pneumonia after cerebral infarction with respiratory failure,the need for invasive mechanical ventilation were randomly divided into treatment group and control group,each 35 cases.Continuous treatment group,enteral nutrition emulsion Fresubin diabetes early supportive care,nasogastric fluid of the control group according to traditional methods,the rest of the comprehensive treatment of the two groups was no significant difference.Results Hypoproteinemia in treatment group was significantly lower than that of the control group（P0.05）.Conclusions Severe pneumonia,the need for invasive mechanical ventilation in patients with Fresubin diabetes can reduce the occurrance of hypoalbuminemia.