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目的观察老年心力衰竭(心衰)合并昏迷患者应用匀浆膳进行肠内营养支持的效果。方法选择2014年7月—2015年6月收治的84例心衰合并昏迷患者作为研究对象,随机分为对照组和观察组各42例。对照组给予肠内营养乳剂,观察组给予自制匀浆膳。观察并比较两组患者营养支持的耐受性及营养指标水平。计量资料组间比较采用t检验,组内比较采用配对t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果观察组与对照组TP、ALB、Hb、TLC水平分别为(72.25±5.14)、(72.37±5.29)、(38.15±2.19)、(37.28±2.20)、(124.17±18.53)、(126.20±17.20)g/L、(1.66±0.50)、(1.64±0.55)×109/L,均较治疗前的(63.27±5.38)、(63.18±5.54)、(36.22±2.97)、(36.18±2.32)、(100.45±14.22)、(102.15±15.37)g/L、(1.24±0.38)、(1.23±0.37)×109/L明显升高,差异均有统计学意义(均P<0.05)。结论匀浆膳食是老年心衰合并昏迷患者营养支持的一种较理想的制剂,可有效保证患者的营养需求。
Objective To observe the effect of enteral nutrition support for homogenized meal in elderly patients with heart failure (heart failure) and coma. Methods Eighty-four patients with heart failure and coma admitted from July 2014 to June 2015 were randomly divided into control group and observation group, with 42 cases in each group. The control group was given enteral nutrition emulsion and the observation group was given self-made homogenized diet. To observe and compare the nutritional support tolerance and nutritional indicators of two groups of patients. Measurement data were compared between groups using t test, the group was compared using paired t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results The levels of TP, ALB, Hb and TLC in the observation and control groups were (72.25 ± 5.14), (72.37 ± 5.29), (38.15 ± 2.19), (37.28 ± 2.20), (124.17 ± 18.53) and (126.20 ± 17.20 (63.27 ± 5.38), (63.18 ± 5.54), (36.22 ± 2.97), (36.18 ± 2.32), (1.66 ± 0.50) and (1.64 ± 0.55) (100.45 ± 14.22), (102.15 ± 15.37) g / L, (1.24 ± 0.38) and (1.23 ± 0.37) × 109 / L, respectively, with statistical significance (all P <0.05). Conclusion Homogenizing diet is an ideal preparation for nutritional support of elderly patients with heart failure and coma, which can effectively ensure the nutritional needs of patients.