肠内营养混悬液对慢性阻塞性肺疾病急性加重期患者营养状态及免疫功能的影响
The effect of enteral nutritional suspension on nutritional status and immune function in patients with acute exacerbation of chronic obstructive pulmonary disease
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摘要: 目的:探讨肠内营养混悬液对中重度慢性阻塞性肺疾病急性加重期(AECOPD)患者营养状态和免疫功能的影响。方法:选择AECOPD患者60例,随机分为治疗组31例和对照组29例。对照组采用常规治疗,治疗组在对照组的基础上加用肠内营养混悬液,每次1 000 ml,每天2次,连续口服3周。观察2组治疗效果。结果:营养支持治疗3周后,治疗组患者营养状况(体质量指数、皮褶厚度、上臂中点肌肉周径、血清白蛋白、前白蛋白、脂联素、瘦素)和免疫功能(CD4、CD8、CD4/CD8和IgG)均较治疗前和对照组改善(P0.05~P0.01),而IgM与对照组差异无统计学意义(P0.05)。结论:肠内营养混悬液支持治疗能够使AECOPD患者获益,可以在一定程度上改善患者营养状态和免疫功能,提高临床疗效。Abstract: Objective: To investigate the effects of enteral nutritional suspension on nutritional status and immune function in patients with acute exacerbation of chronic obstructive pulmonary(AECOPD) . Methods: Sixty patients with AECOPD were randomly divided into treatment group(31 cases) and control group(29 cases) . The control group and treatment group were treated with conventional therapy and enteral nutritional suspension based on the control group everyday 1 000 ml, twice a day for 3 weeks, respectively. The clinical effects in two groups were observed. results: Compared with the treatment group before treatment and control group, the nutritional status(including body mass index, skinfold thickness,arm muscle circumference, serum albumin, serum prealbumin, leptin and adiponectin) and immune function(including CD4,CD8,CD4 /CD8 and IgG) of treatment group were improved after treatment (P < 0. 05 to P < 0. 01) , the difference of IgM between two groups was not statistically significant(P > 0. 05) . Conclusions: The effects of enteral nutritional suspension on treating the patients with AECOPD are good,which can improve nutritional status and immune function, to some extend and improve the clinical efficacy.