老年重症肺炎病人营养支持治疗的疗效评价

吴天忠

( 哈尔滨医科大学附属第二医院，黑龙江 哈尔滨 150086)

【摘    要】目的：探究老年重症肺炎病人营养支持治疗的疗效。方法：选取本院收治的老年重症肺炎病人 64 例为本次观察对象，纳入时间自 2021 年 1 月至 2021 年 12 月。根据治疗方案不同分组为参照组（n=32）、观察组（n=32），参照组开展常规治疗，观察组在常规治疗基础上施行营养支持治疗。对比两组老年重症肺炎病人营养功能、免疫功能指标变化情况。结果：治疗后，两组病患营养功能指标（PA、Hb、TP、ALB）、免疫功能指标（IgM、IgA、IgG）值较治疗前均升高，炎症因子指标（hs-CRP、IL-6、TNF-α) 值较治疗前下降，且观察组营养功能、免疫功能指标值高于参照组，炎症因子指标值低于参照组，P<0.05。结论：在常规治疗基础上开展营养支持治疗可显著改善老年重症肺炎病人的营养功能、免疫功能及炎症因子情况，效果显著。

【关键词】老年重症肺炎；营养支持治疗；常规治疗；营养功能；免疫功能；炎症因子

Efficacy Evaluation of Nutritional Support Therapy in Elderly Patients with Severe Pneumonia

Wu Tianzhong

(The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150086, China)

Abstract: Objective: To explore the therapeutic efficacy of nutritional support in elderly patients with severe pneumonia.Methods:A total of 64 elderly patients with severe pneumonia admitted to our hospital from January 2021 to December 2021 were selected as the subjects of this study.Patients were divided into a control group(n=32)and an observation group(n=32)based on different treatment plans.The control group received routine treatment, while the observation group received nutritional support in addition to routine treatment.The changes in nutritional function and immune function indicators of the elderly patients with severe pneumonia in both groups were compared. Results:After treatment,the nutritional function indicators(PA,Hb,TP,ALB)and immune function indicators(IgM,IgA,IgG) in both groups were increased compared to before treatment,while the inflammatory factor indicators(hs-CRP,IL-6,TNF-α)were decreased compared to before treatment.Moreover,the values of nutritional and immune function indicators in the observation group were higher than those in the control group,and the values of inflammatory factor indicators were lower,with a statistically significant difference(P<0.05).Conclusion:The addition of nutritional support to routine treatment significantly improves the nutritional function,immune function,and inflammatory factor status in elderly patients with severe pneumonia,demonstrating a marked effect.

Keywords: Elderly Severe Pneumonia; Nutritional Support Therapy; Routine Treatment; Nutritional Function;Immune Function; Inflammatory Factors