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目的 观察营养支持在慢性心衰治疗中的作用。方法 随机选择 4 0例病人 ,将其分为自由饮食组 (F组 )和营养支持组 (N组 )。F组病人随意进食 ,N组按计算的总能量消耗进行营养支持。观察血白蛋白、淋巴细胞总数、体重和三角肌皮皱厚度的变化。结果 4 0例病人入院时均有不同程度的营养不良 ,入院第 10d ,F组血白蛋白、体重和淋巴细胞计数明显下降 ,N组血白蛋白、体重和淋巴细胞计数明显上升 ,两组病人的三角肌皮皱厚度并无显著变化。结论 心衰治疗同时给予积极的营养支持 ,可提高血白蛋白的浓度 ,增加体重 ,改善免疫状态 ,提高心衰的治疗效果 ,防止进一步发展为心源性恶液质。
Objective To observe the role of nutritional support in the treatment of chronic heart failure. Methods 40 randomly selected patients were divided into two groups: the free diet group (F group) and the nutrition support group (N group). Patients in group F were fed at random, and group N received nutritional support at the calculated total energy expenditure. Changes in serum albumin, total lymphocytes, body weight and deltoid skin fold thickness were observed. Results 40 patients were admitted to hospital with varying degrees of malnutrition. On the 10th day after admission, serum albumin, body weight and lymphocyte counts in group F were significantly decreased. Serum albumin, body weight and lymphocyte counts were significantly increased in group N, The deltoid muscle fold thickness did not change significantly. Conclusion The treatment of heart failure at the same time give positive nutritional support, can increase the concentration of albumin, increase body weight, improve immune status, improve the therapeutic effect of heart failure, to prevent the further development of cardiogenic cachexia.