肠内营养支持在80岁以上反复肺部感染患者中的应用

Clinical application of enteral nutrition support in patients aged over 80 years with recurrent pulmonary infection

目的探讨肠内营养支持在≥80岁反复肺部感染患者中的临床应用效果。方法对34例≥80岁反复肺部感染患者肠内营养支持情况进行分析。采用经皮内镜下胃造瘘术(PEG/J)治疗组18例,采用鼻胃管治疗组16例,摄入同等热量和同等氮量,营养支持时间>2月。结果经肠内营养支持后,全部患者的营养状况得到改善,2组各指标差异无显著性。PEG/J治疗组反流、误吸、吸入性肺炎的发生次数均明显少于鼻胃管组,对比差异均有统计学意义(P<0.05)。结论在≥80岁反复肺部感染患者中选择合适的肠内营养支持方式,不仅可以改善病人的营养状况,还可以减少肺部感染的发生,提高机体免疫功能,促进病人的康复。

Objective To investigate clinical value of enteral nutrition support in elderly patients with recurrent pulmonary infection.Methods The application of enteral nutrition support in 34 cases of elderly patients with recurrent pulmonary infection were analyzed,18 patients were treated with percutaneous endoscopic gastrostomy/jejunostomy（PEG/J）,another 16 patients used nasogastric tube.Both groups took equal calories and nitrogen,and nutritional support time was more than 2 months.Results After enteral nutrition support,nutritional status of all patients was improved.There was no significant difference between two groups.However,the frequency of reflux,aspiration,and aspirated pneumonia occurred in PEG/J group was obviously less than those in nasogastric tube group,and the difference between two groups was significant（P0.05）.Conclusions Appropriate way of enteral nutrition in elderly patients with recurrent pulmonary infection can not only improve the nutritional status,but also reduce the incidence of pulmonary infection,and the immune function could be improved,and then promote the rehabilitation of patients.