论文部分内容阅读
目的:探讨中药联合鼻肠管肠内营养在慢性阻塞性肺疾病(COPD)急性加重期伴营养不良病人支持治疗中可能发挥的作用。方法:选取60例COPD急性加重期且伴有营养不良的病人随机分为试验组和对照组,每组30例。试验组给予中药联合鼻肠管营养支持;对照组给予正常配比饮食,治疗2周。结果:试验组病人治疗后的营养学指标、肺功能水平均高于对照组,住院时间、一年内复发次数少于对照组。结论:中药联合鼻肠管肠内营养支持能促进机体蛋白质合成,增加体重,防止呼吸肌等骨骼肌分解,增强膈肌等呼吸肌群强度和促进收缩力恢复,促进排痰,缩短住院周期,降低复发率,有利于病人康复。
Objective: To investigate the possible role of traditional Chinese medicine combined with enteral nutrition in the supportive treatment of patients with malnutrition in acute exacerbation of chronic obstructive pulmonary disease (COPD). Methods: Sixty COPD patients with acute exacerbation and malnutrition were randomly divided into experimental group and control group, 30 cases in each group. The experimental group was given traditional Chinese medicine combined with nasal nutrition support; the control group was given a normal diet, for 2 weeks. Results: The nutritional indexes and lung function of the patients in trial group were higher than those in control group. The length of hospital stay and recurrence within one year were less than those in control group. Conclusion: The combination of traditional Chinese medicine and enteral nutrition can promote protein synthesis, increase body weight, prevent the decomposition of respiratory muscles and other skeletal muscles, enhance the strength of respiration muscles such as diaphragm and promote the recovery of contractility, promote sputum aspiration, shorten hospitalization period and reduce relapse Rate, is conducive to patient rehabilitation.