营养不良患者营养支持的疗效分析

ANALYSIS OF CURATIVE EFFECT OF NUTRITIONAL SUPPORT FOR MALNOURISHED PATIENTS

目的探讨有效经济的营养支持方法。方法将收入我院的83例诊断为营养不良的患者随机分为治疗组42例,对照组41例。其中治疗组42例入院就实施全肠内营养治疗,对照组41例实施半肠内营养+半肠外营养治疗。观察两组病人的治疗费用、蛋白代谢及精神状态等临床结果。结果两组病人经过治疗后精神状态,言语对答及反应均明显好转;两组组患者的视黄醇结合蛋白(RbP)、转铁蛋白(TRF)、血清前白蛋白(PRE)和白蛋白(ALB)水平均明显升高,两组的差异无统计学意义(p>0.05);治疗组的住院治疗费用明显少于对照组(p<0.05)。结论全肠内营养支持和半肠内+半肠外营养支持都能有效改善营养不良所致的临床症状,有效提升营养指标。而全肠内营养具有较少的治疗费用,是营养不良患者经济实惠的营养支持治疗方案。

Objective To investigate the economy and effective nutrition support for cacotrophy. Methods The changes inplasma protein concentration and clinical results of 83 eacotrophy patients were restrospeetively ana- lyzed. These patients were assigned to Group treatment （n = 42）and Group control（n = 41 ）. The patients in group treatment received total enteral nutrition. The patients in group control was treated with half parenteral nutrition ＋ half enteral nutrition 7 days laterResults Two groups of patients mental state, speech response and reaction were im- proved after treatment. The concentration of retina - binding protein, transferrin, prealbumin, albumin prior in two groups were increased, no significant difference between the two groups. （p 〉 0. 05 ）. The cost of hospitalization of the treatment group was obviously less than that in the control group （p 〈 0.05 ）. Conclusion The total enteral nutrition and half parenteral nutrition ＋ half enteral nutrition can effectively improve the clinical symptoms of malnutrition and the nutritional index. While the total enteral nutrition has less the cost of treatment, is the treatment of nutritional support of patients with malnutrition affordable.