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目的:探讨中药联合空肠内营养支持在慢性阻塞性肺疾病急性加重期(AECOPD)合并营养不良中的临床作用。方法:将94例AECOPD合并营养不良患者随机分为治疗组51例和对照组43例;治疗组给予益肺健脾汤联合空肠内营养支持,对照组给予单纯饮食支持。观察比较两组临床疗效及并发症情况。结果:治疗组和对照组治疗后的FVC、FEV1/FVC、MIP、MEP均高于治疗前(P<0.05);治疗后MIP、MEP治疗组均高于对照组(P<0.05)。治疗组治疗后的ALB、PA、TFN均高于治疗前(P<0.05),对照组治疗后的ALB、TFN均高于治疗前(P<0.05);治疗后治疗组ALB、PA、TFN均高于对照组(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:在治疗AECOPD合并营养不良中,益肺健脾汤联合空肠内营养支持具有更好的疗效,并发症发生率较低。
Objective: To investigate the clinical effect of traditional Chinese medicine combined with enteral nutrition support on malnutrition in acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods: A total of 94 AECOPD patients with malnutrition were randomly divided into treatment group (n = 51) and control group (n = 43). The treatment group was treated with Yifei Jianpi Decoction combined with enteral nutrition support, and the control group with simple diet support. The clinical efficacy and complications of the two groups were observed and compared. Results: The FVC, FEV1 / FVC, MIP and MEP in the treatment group and the control group were significantly higher than those before treatment (P <0.05). After treatment, the MIP and MEP treatment groups were higher than the control group (P <0.05). The levels of ALB, PA and TFN in the treatment group were significantly higher than those before treatment (P <0.05), while those in the control group were higher than those before treatment (P <0.05) (P <0.05). There was no significant difference in the complication rates between the two groups (P> 0.05). Conclusion: Yifei Jianpi Decoction combined with enteral nutrition support has better curative effect and lower complication rate in the treatment of AECOPD malnutrition.