YANG Yaming, WANG Jianfeng. Effect of enteral nutrition on nutritional status and immune function in patients with chronic obstructive pulmonary disease complicated with respiratory failure by non-invasive ventilation[J]. Journal of Clinical Medicine in Practice, 2019, 23(10): 72-74. DOI: 10.7619/jcmp.201910020
Citation: YANG Yaming, WANG Jianfeng. Effect of enteral nutrition on nutritional status and immune function in patients with chronic obstructive pulmonary disease complicated with respiratory failure by non-invasive ventilation[J]. Journal of Clinical Medicine in Practice, 2019, 23(10): 72-74. DOI: 10.7619/jcmp.201910020

Effect of enteral nutrition on nutritional status and immune function in patients with chronic obstructive pulmonary disease complicated with respiratory failure by non-invasive ventilation

More Information
  • Received Date: March 11, 2019
  • Accepted Date: April 18, 2019
  • Available Online: February 22, 2021
  • Published Date: May 27, 2019
  •   Objective  To study the effect of enteral nutrition for patients with chronic obstructive pulmonary disease (COPD) complicated with respiratory failure by non-invasive ventilation.
      Methods  Sixty patients with COPD complicated with respiratory failure were were divided into conventional group (nasal feeding) and study group (enteral nutrition support), with 30 cases per group. Clinical effect was observed after 1 month of intervention.
      Results  The complication rate of the study group was lower, the time of clinical symptom disappearance, recovery time of respiratory function, and average hospital days were shorter than that of the conventional group(P < 0.05). The interleukin-6 (IL-6) and tumor necrosis factor-α(TNF-α) in the study group was lower, serum iron level, respiratory flow peak (PEF), and ratio of forced vital capacity in the first second to a predicted value(FEV1%) were higher than that in the conventional group(P < 0.05). After intervention, the study group had lower respiratory function score and respiratory rate than before intervention and routine group(P < 0.05).
      Conclusion  Enteral nutrition is effective in the treatment of COPD patients complicated with respiratory failure in non-invasive ventilation.
  • [1]
    邓笑伟, 袁存花, 常德. SERPINA1基因多态性及吸烟与慢性阻塞性肺疾病易感性关系的研究[J]. 中华结核和呼吸杂志, 2018, 41(5): 322-322. doi: 10.3760/cma.j.issn.1001-0939.2018.05.002
    [2]
    王发辉, 石慧芳, 林石宁, 等. 阿托伐他汀联合前列地尔对慢性阻塞性肺疾病合并肺动脉高压患者的临床研究[J]. 中国临床药理学杂志, 2018, 34(22): 2587-2590. https://www.cnki.com.cn/Article/CJFDTOTAL-GLYZ201822001.htm
    [3]
    温莹, 何柳, 翟屹, 等. 流行性感冒病毒裂解疫苗和23价肺炎球菌多糖疫苗改善老年人慢性阻塞性肺疾病的社区干预试验[J]. 中华流行病学杂志, 2018, 39(6): 792-798. doi: 10.3760/cma.j.issn.0254-6450.2018.06.019
    [4]
    杨宏宽, 张艳, 张佳颖, 等. 哮喘-慢性阻塞性肺疾病重叠患者中痰髓过氧化物酶、嗜酸粒细胞阳离子蛋白与临床特征的相关性[J]. 南方医科大学学报, 2018, 38(10): 1215-1221. https://www.cnki.com.cn/Article/CJFDTOTAL-DYJD201810011.htm
    [5]
    蒋明, 王鹏雁. 自噬在慢性阻塞性肺疾病发病机制中的作用及其研究进展[J]. 中国全科医学, 2017, 20(18): 2183-2187. doi: 10.3969/j.issn.1007-9572.2017.04.y08
    [6]
    成艳琴. 优质护理干预对无创呼吸机治疗肺心病患者临床效果的研究[J]. 实用临床护理学电子杂志, 2017, 2(26): 22-24. doi: 10.3969/j.issn.2096-2479.2017.26.018
    [7]
    中华医学会, 中华医学会杂志社, 中华医学会全科医学分会, 等. 慢性阻塞性肺疾病基层诊疗指南(2018年)[J]. 中华全科医师杂志, 2018, 17(11): 871-877. doi: 10.3760/cma.j.issn.1671-7368.2018.11.003
    [8]
    贾星宇, 华晨, 刘励军, 等. 不同方法检测有创机械通气患者静息能量消耗及其意义[J]. 中华内科杂志, 2018, 57(8): 596-598. doi: 10.3760/cma.j.issn.0578-1426.2018.08.012
    [9]
    鹿琦. 中国成年人基础代谢率实测值与公式计算值的一致性研究[J]. 湖北体育科技, 2018, 37(11): 992-995. doi: 10.3969/j.issn.1003-983X.2018.11.015
    [10]
    王勇, 陈江, 陈兆俊. COPD评估测试在慢性阻塞性肺疾病临床评价中的意义[J]. 浙江实用医学, 2017, 22(5): 332-333, 354. doi: 10.3969/j.issn.1007-3299.2017.05.008
    [11]
    翟燕珍. 临床护理路径在COPD并发呼吸衰竭患者中的效果评价[J]. 深圳中西医结合杂志, 2017, 27(11): 165-166. https://www.cnki.com.cn/Article/CJFDTOTAL-SZZX201711079.htm
    [12]
    白巧红, 钟富宽, 陈福涛, 等. 纤维支气管镜吸痰联合肺泡灌洗对COPD合并呼吸衰竭的临床效果[J]. 检验医学与临床, 2017, 14(22): 3363-3364, 3367. doi: 10.3969/j.issn.1672-9455.2017.22.031
    [13]
    杨雪. 氧气驱动雾化吸入联合无创呼吸机治疗在COPD合并呼吸衰竭患者中的应用[J]. 中国医药指南, 2017, 15(22): 81-82. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK201722057.htm
    [14]
    付会恒, 田亚莉, 李丽荣, 等. 无创呼吸机辅助通气治疗COPD致肺源性心脏病伴Ⅱ型呼吸衰竭患者的临床研究[J]. 中国医学创新, 2017, 14(1): 9-12. doi: 10.3969/j.issn.1674-4985.2017.01.003
    [15]
    李玲玉, 吕铭, 施庆彤, 等. 鼻饲流质结合护理干预对食管癌患者术后营养状况的改善作用[J]. 中华胸部外科电子杂志, 2017, 4(1): 18-21. doi: 10.3877/cma.j.issn.2095-8773.2017.01.04
    [16]
    彭洁婧, 黄璜. 改良流质鼻饲装置的研制[J]. 护理学报, 2018, 25(10): 78-78. https://www.cnki.com.cn/Article/CJFDTOTAL-NFHL201810026.htm
    [17]
    邱小莲, 曾俊, 汪卫立. 早期个性化肠内营养支持对机械通气患者的临床治疗效果分析[J]. 浙江临床医学, 2017, 19(5): 837-839.
    [18]
    冯小玲, 陈红梅. 肠内营养对慢性阻塞性肺疾病合并呼吸衰竭患者治疗进程及免疫功能的影响研究[J]. 实用医院临床杂志, 2018, 15(6): 110-112. doi: 10.3969/j.issn.1672-6170.2018.06.034
  • Related Articles

    [1]CHEN Zhaojia, SUN Yujing, WU Jianhua, WANG Yaoyong. High-flow nasal cannula oxygen therapy versus non-invasive positive pressure ventilation in treating patients with acute exacerbation of chronic obstructive pulmonary disease type Ⅱ respiratory failure complicated with respiratory muscle fatigue[J]. Journal of Clinical Medicine in Practice, 2021, 25(21): 74-78. DOI: 10.7619/jcmp.20211169
    [2]ZHAO Yu, YANG Xueyu. Effect of sequential enteral and parenteral nutrition for patients with acute exacerbation of chronic obstructive pulmonary disease complicated with respiratory failure[J]. Journal of Clinical Medicine in Practice, 2021, 25(1): 41-44. DOI: 10.7619/jcmp.20200473
    [3]YIN Zhengxue. The timing of invasive mechanical ventilation in the treatment of acute exacerbation of chronic obstructive pulmonary disease patients complicated with severe respiratory failure[J]. Journal of Clinical Medicine in Practice, 2020, 24(19): 83-85,89. DOI: 10.7619/jcmp.202019024
    [4]ZHANG Zuhua, LI Ming. Effect observation of non-invasive bi-level positive airway pressure ventilation in treatment of chronic obstructive pulmonary disease complicated with respiratory failure[J]. Journal of Clinical Medicine in Practice, 2020, 24(19): 67-69. DOI: 10.7619/jcmp.202019019
    [5]ZHANG Miao, ZHANG Yong. Timing of invasive mechanical ventilation for patients with acute attack of chronic obstructive pulmonary disease complicated with severe respiratory failure[J]. Journal of Clinical Medicine in Practice, 2020, 24(16): 19-21,25. DOI: 10.7619/jcmp.202016005
    [6]ZHANG Gaofeng. Efficiency analysis of early non-invasive positive pressure ventilation in treating chronic obstructive pulmonary disease complicated with respiratory failure[J]. Journal of Clinical Medicine in Practice, 2020, 24(2): 19-21. DOI: 10.7619/jcmp.202002006
    [7]ZHONG Jiyong, KANG Wenhui, YOU Dali. Efficiency of non-invasive mechanical ventilation in treating patients with chronic obstructive pulmonary disease complicated with type Ⅱrespiratory failure[J]. Journal of Clinical Medicine in Practice, 2019, 23(16): 58-61. DOI: 10.7619/jcmp.201916016
    [8]LI Han, ZHOU Zhigang. Efficiency observation of non-invasive positive pressure ventilation combined with respiratory stimulants in the treatment of chronic obstructive pulmonary disease patients complicated with pulmonary encephalopathy[J]. Journal of Clinical Medicine in Practice, 2019, 23(7): 68-71. DOI: 10.7619/jcmp.201907018
    [9]ZHU Xia. Nursing of pulmonary interstitial fibrosis complicated with respiratory failure[J]. Journal of Clinical Medicine in Practice, 2018, (10): 108-110. DOI: 10.7619/jcmp.201810032
    [10]ZHENG Xican, ZHANG Lanlan, ZHENG Huiling, WANG Lu. Application of multifunctional mask care in patients with acute exacerbation of chronic obstructive pulmonary disease complicated with respiratory failure[J]. Journal of Clinical Medicine in Practice, 2017, (22): 22-25. DOI: 10.7619/jcmp.201722008

Catalog

    Article views (359) PDF downloads (12) Cited by()

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return