老年胸外伤机械通气患者营养支持的临床研究
Study on effect of nutrition supports in aged mechanically ventilated patients following thracic trauma
目的 探讨营养支持在老年胸外伤机械通气患者中的应用.方法 将48例老年胸外伤机械通气患者随机分为两组,治疗组24例,给予早期肠内加肠外营养支持,对照组24例,给予全肠外营养支持,观察两组营养指标、机械通气时间及并发症(腹胀、肠麻痹、胃肠道出血、二重感染、肝功能异常以及高血糖)发生率.结果 两组均达到营养支持效果,但对照组机械通气时间和并发症发生率明显高于治疗组(P<0.01).结论 对老年胸外伤机械通气患者实施早期肠内加肠外营养支持,可改善患者营养状况,减少并发症发生,促进患者康复.
更多Objective To study the effect of nutrition supports in aged mechanically ventilated patients fol-lowing thracic trauma. Methods 48 aged mechanically ventilated patients following thracic trauma were randomly divided into two groups,patients in treatment group( n = 24) received EEN and PN,control group( n = 24) only re-ceived TPN. Compared the nutritional index, time of mechanical ventilation and compared the complications such as windy,intestine paralysis, alimentary tract heorrhage, second heavy infection, hypohepatia and high blood glucose.Results The nutritional index between treatment group and control group had no statistical difference,but the time of mechanical ventilation and the ratio of the complications in control group were higher than that in-treatment group (P < 0.01). Conclusion EEN and PN can improve nutritional condition, have less complieations, promoting the pa-tient recovers form illness.
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