持续加热推泵输注肠内营养乳剂和顿服营养液在老年重症肺炎中的应用

Application of Heated Pump Infusion of Enteral Nutrition Mmulsion and Enteral Nutrition Solution in Elderly Patients with Severe Pneumonia

目的分析持续加热推泵输注和顿服营养液在老年重症肺炎肠内营养中的应用价值。方法随机数字表法将我院2019年4月至2020年12月66例老年重症肺炎患者分为2组,均行鼻胃管给予营养,对照组顿服营养液,观察组持续加热推泵输注营养液,治疗7d。观察营养指标、免疫指标、炎症指标、并发症和疗效。结果治疗后观察组血清HGB、PAB、ALB和CD^(4+)、CD^(8+)、CD^(4+)/CD^(8+)、CD^(3+)升高且高于对照组,血清IL-6、PCT降低且低于对照组,并发症发生率(9.09%)较对照组(30.30%)低,治疗总有效率(69.70%)较对照组(42.42%)高(P<0.05)。结论持续加热推泵输注能提高疗效,改善营养和免疫状态,缓解炎症,减少并发症。

Objective To analyze value of heated pump infusion of enteral nutrition emulsion and enteral nutrition solution in elderly patients with severe pneumonia.Methods Through nasojejunal nutrition tube,66 elderly patients with severe pneumonia from April 2019 to December 2020 were randomly divided into the control group(nutrient solution)and the observation group(heated pump infusion of enteral nutrition emulsion)for 7 days.Indexes including nutrition,immune,inflammation,complications,and curative effect were observed.Results After treatment,HGB,PAB,ALB,CD^(4+),CD^(8+),CD^(4+)/CD^(8+),CD^(3+)in the observation group were increased and higher,IL-6,and PCT were decreased and lower than the control group,incidence of complication rates(9.09%)was lower than the control group(30.30%),total effective rate(69.70%)was higher than the control group(42.42%,P<0.05).Conclusion Heated pump infusion can improve curative effect,nutritional and immune status,relieve inflammation and reduce complications.