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目的探讨管饲匀浆膳对慢性阻塞性肺疾病(COPD)并发呼吸衰竭患者机械通气的营养支持效果。方法随机将60例COPD患者分为对照组(n=30)与治疗组(n=30),两组均给予抗感染、祛痰、解痉、平喘、纠正水电解质紊乱等常规治疗。对照组给予能全素鼻饲,治疗组给予自制匀浆膳分次胃内注入,并监测相关数据。结果治疗组较对照组在提高血液中血红蛋白(Hb)、血清总蛋白(TP)、白蛋白(ALB)、外周血淋巴细胞(TCL)含量及降低血尿素氮(BUN)更明显,并能减少并发症的发生率,缩短机械通气及入住ICU时间,减少医疗费用。结论对COPD行机械通气的患者进行肠内匀浆营养更安全、方便、经济、有效。
Objective To investigate the nutritional support effect of tube feeding homogenate on mechanical ventilation in patients with chronic obstructive pulmonary disease (COPD) complicated by respiratory failure. Methods Sixty COPD patients were randomly divided into control group (n = 30) and treatment group (n = 30). Both groups were given anti-infective, expectorant, antispasmodic, antiasthmatic and water and electrolyte disorders. The control group was given holotransposon nasal feeding, and the treatment group was given homemade homogenate and intragastric injection, and the related data were monitored. Results Compared with the control group, the levels of Hb, TP, ALB and TCL in the treatment group were significantly lower than those in the control group, and the levels of blood urea nitrogen (BUN) and blood urea nitrogen The incidence of complications, shorten the time of mechanical ventilation and ICU stay, reduce medical costs. Conclusions It is safer, more convenient, more economical and more effective for enteral homogenate in COPD patients with mechanical ventilation.