首页|营养支持联合乳清蛋白对重症肺炎免疫功能和康复的作用

营养支持联合乳清蛋白对重症肺炎免疫功能和康复的作用

扫码查看
目的 探讨营养支持联合乳清蛋白对重症肺炎患者免疫功能和康复进程的作用。方法 选取南平市第一医院 2022 年 4月—2024 年 2 月收治的重症肺炎 90 例,根据不同的营养支持治疗方法分为 2 组,各 45 例。对照组采取常规营养支持治疗,观察组在其基础上增加乳清蛋白肠内干预。对比 2 组治疗前后肺炎严重指数、炎症因子、免疫功能指标及主要症状消失时间。结果 对照组治疗后1、2周肺炎严重指数分别为(85。67±11。98)、(79。45±10。34),观察组治疗后 1、2 周的肺炎严重指数分别为(80。12±10。78)、(72。34±9。56),差异有统计学意义(P<0。05)。与对照组治疗后相比,观察组C反应蛋白(C-reactive protein,CRP)、降钙素原(procalcitonin,PCT)水平较低,CD3+、CD4+及CD4+/CD8+较高,差异有统计学意义(P<0。05)。观察组主要症状消失时间短于对照组,差异有统计学意义(P<0。05)。结论 营养支持联合乳清蛋白治疗重症肺炎患者可帮助改善肺炎症状,降低炎症反应,提高免疫功能,加快患者的康复进程。
The Effects of Nutritional Support Combined With Whey Protein on Immune Function and Recovery in Severe Pneumonia
Objective To explore the effect of nutritional support combined with whey protein on immune function and rehabilitation process of patients with severe pneumonia.Methods A total of 90 cases of severe pneumonia treated at Nanping First Hospital from April 2022 to February 2024 were selected.The patients were divided into two groups based on different nutritional support treatment methods,with 45 cases in each group.The control group received routine nutritional support treatment,while the observation group received additional enteral intervention with whey protein.The pneumonia severity index,inflammatory factors,immune function indicators and the time to disappearance of major symptoms were compared between the two groups before and after treatment.Results The pneumonia severity index of the control group after 1 and 2 weeks of treatment was(85.67±11.98)and(79.45±10.34),respectively,the pneumonia severity index of the observation group after 1 and 2 weeks of treatment was(80.12±10.78)and(72.34±9.56),respectively,with statistical significance(P<0.05).Compared with the control group after treatment,the observation group had lower levels of C-reactive protein(CRP)and procalcitonin(PCT),and higher levels of CD3+,CD4+,and CD4+/CD8+,with statistically significant differences(P<0.05).The disappearance time of the main symptoms in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Nutritional support combined with whey protein in the treatment of patients with severe pneumonia can help improve the symptoms of pneumonia,reduce inflammatory reaction,improve immune function,and accelerate the rehabilitation process of patients.

nutritional supportwhey proteinsevere pneumoniainflammatory reactionimmune functionrehabilitation process

刘婵娟、李洁、叶瑛

展开 >

南平市第一医院临床营养科,福建 南平 353000

营养支持 乳清蛋白 重症肺炎 炎症反应 免疫功能 康复进程

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(19)