半固体肠内方剂治疗吸入性肺炎和腹泻的疗效观察

M. Oishi, Mina Yasuda, Mao Chikamatsu, Rena Akiyama, M. Yamamoto, Keisuke Terakawa, Yumi Suzuki, Mizuki Ando, Mariko Shimada, T. Kumagai, Akiko Nakayama
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摘要

目的:探讨半固体肠内配方奶在液体肠内配方奶致吸入性肺炎和/或腹泻管饲患者中的应用效果。方法:对25例吸入性肺炎和10例腹泻(5例兼有吸入性肺炎和腹泻)由液体肠内配方改为半固体肠内配方的疗效进行观察。半固体肠内配方(PG Soft®EJ)通过鼻胃管(16Fr)或经皮内镜胃造口(PEG)管(20Fr)输注。结果:半固体肠内配方对吸入性肺炎的有效率为72%,对腹泻的有效率为80%。一例出现便秘,但用氧化镁控制。结论:在吸入性肺炎和/或腹泻病例中,将液体肠内配方改为半固体肠内配方往往能改善病情。
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Effects of Semi-Solid Enteral Formula on Aspiration Pneumonia and Diarrhea
Objective: The effects of semi-solid enteral formula were investigated in tube feeding patients with aspiration pneumonia and/or diarrhea caused by liquid enteral formula. Methods: In 25 cases of aspiration pneumonia and 10 cases of diarrhea (5 cases had both aspiration pneumonia and diarrhea) caused by liquid enteral formula, the rate of improvement by changing the liquid enteral formula to semi-solid enteral formula was studied. The semi-solid enteral formula (PG Soft® EJ) was infused via the nasogastric tube (16Fr) or percutaneous endoscopic gastrostomy (PEG) tube (20Fr). Results: The semi-solid enteral formula was effective in 72% of aspiration pneumonia cases and in 80% of diarrhea cases. Constipation was observed in one case but was controlled with magnesium oxide. Conclusion: In cases of aspiration pneumonia and/or diarrhea, changing liquid enteral formula to semi-solid enteral formula frequently shows improvement.
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