老年肺部感染患者中加强肠内营养治疗减少真菌感染临床分析.docVIP

老年肺部感染患者中加强肠内营养治疗减少真菌感染临床分析 　　[摘要] 目的 对比分析老年肺部感染患者，经加强营养治疗后，发生真菌感染的几率及死亡率明显减少，旨在提倡临床治疗中重视营养治疗。方法 观察2009年12月至2011年2月在我院呼吸科及ICU救治的293名老年肺部感染患者，除常规抗菌祛痰等治疗外，治疗组经鼻饲肠道营养，对比其真菌感染的发生率、终点死亡率、平均住院天数，不良反应等。结果 对照组156人，真菌感染20例，死亡10例，平均住院 14.02±5.47 天，治疗组组137人，真菌感染6例，死亡5例，平均住院11.55±4.83天，治疗组在真菌感染的发生率、终点死亡率、平均住院天数等均明显低于对照组,不良反应无显著性差别。 结论 肺部感染患者需要加强肠道营养治疗。 　　关键词：肺部感染 营养治疗 真菌感染 　　 　　The clinical analysis of the relationship between intensive enteral nutrition and the reduction of epiphyte infection in aged patients with pneumonia 　　The ICU Department of The People’s Hospital of Wenjiang Distict in Chengdu City, Sichuan Province, China. Wu Zheng-Rong,，Wang-Pan，Li-Ying,Cao Yi-Rui。 　　Zip Code: 611130 　　Abstract: objective: to explore effect on epiphyte infection morbidity and mortality by intensive enteral nutrition care in aged patients with pneumonia. methods: a total of 293 aged inpatients with pneumonia at respiration department and ICU were enrolled from 2009 December to 2011 February, and undergone intensive enteral nutrition treatment in treatment group, as well as antisepsis and expectorant in both groups. The end point evaluation include epiphyte infection rate and death and hospital stay time. Result: 12.82% (20/156) of patients in control group had undergone epiphyte infection of which 6.41% (10/156) death, the average hospital stay time was 14.02±5.47 days, moreover, whereas, 4.40%(6/137) of patients in treatment group had undergone epiphyte infection of which 3.65% (5/137) death, the average hospital stay time was 11.55±4.83 days. But there was no significant difference in side reaction rate in both groups. Conclusion: enhanced enteral nutrition combination with antisepsis treatment may produce beneficial effects by epiphyte infection morbidity and death and hospital stay time in aged patients with pneumonia, no additional side effect. 　　Keywords: pneumonia, aged patients, intensive enteral nutrition 　　中图分类号：R563.1 文献标识码：B 文章编号：1004-7484（2011）05-0006-03 　　 　　临床