Effect of sequential enteral and parenteral nutrition for patients with acute exacerbation of chronic obstructive pulmonary disease complicated with respiratory failure

ZHAO Yu; YANG Xueyu

doi:10.7619/jcmp.20200473

Journal of Clinical Medicine in Practice > 2021 > 25(1): 41-44. > DOI: 10.7619/jcmp.20200473

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

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Effect of sequential enteral and parenteral nutrition for patients with acute exacerbation of chronic obstructive pulmonary disease complicated with respiratory failure

ZHAO Yu,
YANG Xueyu

Department of Critical Care Medicine, General Hospital of Pingmei Shenma Medical Group, Pingdingshan, Henan, 467000

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Received Date: November 14, 2020
Available Online: January 17, 2021
Published Date: January 14, 2021

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Abstract

Abstract

Objective To investigate the effect of sequential enteral and parenteral nutrition on nutritional status and prognosis of patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) complicated with respiratory failure.
Methods A total of 60 patients with AECOPD complicated with respiratory failure were randomly divided into control group and observation group, with 30 cases in each group. The control group received enteral nutrition support, and the observation group received sequential enteral and parenteral nutrition support. The nutritional status, rehabilitation index and complication rate of the two groups were compared.
Results After one week of nutritional support, serum albumin (ALB), transferrin (TRF) and prealbumin (PA) in the observation group were significantly higher than those in the control group, and mechanical ventilation duration as well as length of ICU stay were significantly shorter than those in the control group (P < 0.05). The complication rate in the observation group was 3.33%, which significantly lower than 26.67% in the control group (P < 0.05).
Conclusion Sequential parenteral and parenteral nutritional support can improve the nutritional status of patients with AECOPD complicated with respiratory failure, reduce their complications and speed up the recovery process.

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References

[1]	何永鸿, 王宋平. 丙氨酸-谷氨酰胺肠外营养支持治疗慢性阻塞性肺病急性加重期合并Ⅱ型呼吸衰竭患者的临床效果观察[J]. 广西医学, 2020, 42(4): 440-443. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYX202004019.htm
[2]	赵辉, 潘景业, 郑贞苍. 早期肠内营养对机械通气患者营养状态和肠黏膜屏障的影响[J]. 医学研究杂志, 2018, 47(8): 116-120. https://www.cnki.com.cn/Article/CJFDTOTAL-YXYZ201808029.htm
[3]	赵辉. 不同营养支持方式对慢性阻塞性肺疾病急性加重并呼吸衰竭患者营养状态、肺功能及炎性因子影响的对比研究[J]. 实用心脑肺血管病杂志, 2019, 27(4): 77-82. doi: 10.3969/j.issn.1008-5971.2019.04.y02
[4]	吴蒙, 丁宁. 肠内营养与肠外营养支持在重症胰腺炎合并局部并发症患者中的应用效果及对Hb、ALB、CRP、APACHEⅡ评分的影响[J]. 解放军预防医学杂志, 2019, 37(6): 42-43. https://www.cnki.com.cn/Article/CJFDTOTAL-JYYX201906020.htm
[5]	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): 856-870. doi: 10.3760/cma.j.issn.1671-7368.2018.11.002
[6]	陈莉丹, 邓润桃, 叶琨妮, 等. 护理指导营养支持治疗对慢性阻塞性肺病预后的影响[J]. 重庆医学, 2017, 46(19): 2729-2730. doi: 10.3969/j.issn.1671-8348.2017.19.044
[7]	陈琳玲, 唐卫东, 陈琪, 等. 营养治疗及质量改进对县级ICU慢性阻塞性肺疾病患者预后影响[J]. 中华急诊医学杂志, 2019, 28(4): 463-466. doi: 10.3760/cma.j.issn.1671-0282.2019.04.013
[8]	高健婷, 王秋雁. 早期接受不同剂量肠内营养对急性呼吸衰竭患者预后的影响[J]. 中华危重病急救医学, 2017, 29(11): 1010-1014. doi: 10.3760/cma.j.issn.2095-4352.2017.11.010
[9]	张华东, 蔡佳吟, 陈卫挺, 胡人匡, 陶福正. 肠内营养量对慢性阻塞性肺疾病急性加重机械通气患者膈肌厚度及预后的影响[J]. 中国中西医结合急救杂志, 2019, 26(1): 83-87. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYS202011029.htm
[10]	樊静媛, 杨振. 不同营养支持对COPD急性加重期合并Ⅱ型呼吸衰竭患者的临床观察[J]. 重庆医学, 2018, 47(17): 2372-2374. doi: 10.3969/j.issn.1671-8348.2018.17.034
[11]	甘平, 刘克远. 不同肠内营养方式对ICU危重症患者发生呼吸机相关性肺炎及预后情况的影响[J]. 临床肺科杂志, 2020, 25(6): 850-853. doi: 10.3969/j.issn.1009-6663.2020.06.010
[12]	朱小平, 王燕, 何慧娟. 肠内营养与肠外营养对放疗食管癌患者的营养改善效果研究[J]. 中国药物与临床, 2019, 19(15): 2590-2592. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC201915037.htm
[13]	路建荣, 陈喆, 张福全. 两种肠内营养方案对重症急性胰腺炎患者肠道菌群及预后的影响[J]. 中国微生态学杂志, 2019, 31(1): 66-70. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWS201901014.htm
[14]	李珊珊, 奚峰, 冯慧丽, 等. 不同营养支持方案对重症CAP患者肠道菌群、营养指标及远期预后的影响[J]. 中国医药导刊, 2018, 20(11): 652-655. https://www.cnki.com.cn/Article/CJFDTOTAL-DKYY201811004.htm
[15]	杜燕, 张杰, 熊秋翌, 等. 肠内营养与肠内肠外联合营养方案对脑卒中后吞咽障碍患者疗效及营养状态的影响[J]. 临床和实验医学杂志, 2019, 18(22): 2419-2422. doi: 10.3969/j.issn.1671-4695.2019.22.018

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