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目的:观察营养支持治疗对农村地区慢性阻塞性肺疾病急性加重期患者的疗效。方法:将临床确诊为慢性阻塞性肺疾病急性加重期的52例农村患者随机分成对照组(18例)和治疗组(34例)。两组均常规内科治疗,治疗组加用复方氨基酸针250ml+脂肪乳250ml,每日1次静滴,对照组用能量合剂静滴。2周后比较两组患者的血清白蛋白、呼吸困难级别及感染控制天数的变化。结果:治疗组与对照组相比能显著提高患者的血清白蛋白(P<0.05);降低呼吸困难级别(P<0.05);减少感染控制天数(P<0.01)。结论:复方氨基酸针加脂肪乳的营养支持辅助治疗能显著纠正慢性阻塞性肺疾病急性加重期患者的营养不良状态,缓解临床症状,提高患者生存质量,改善其预后。
Objective: To observe the effect of nutritional support on patients with acute exacerbations of chronic obstructive pulmonary disease in rural areas. Methods: Fifty-two rural patients with clinically diagnosed acute exacerbation of chronic obstructive pulmonary disease were randomly divided into control group (18 cases) and treatment group (34 cases). Two groups were routine medical treatment, the treatment group with compound amino acid needle 250ml + fat emulsion 250ml, intravenous infusion once a day, the control group with energy mixture intravenous infusion. Two weeks later, the serum albumin, respiratory dysfunctions and infection control days were compared between the two groups. Results: Compared with the control group, the treatment group could significantly improve the serum albumin (P <0.05), reduce the level of dyspnea (P <0.05) and reduce the number of infection control days (P <0.01). Conclusion: The nutritional supportive adjuvant therapy with compound amino acid acupuncture and fat emulsion can significantly correct the malnutrition status, alleviate the clinical symptoms, improve the quality of life and improve the prognosis of patients with acute exacerbation of chronic obstructive pulmonary disease.