免疫营养疗法：一例成年胃肠功能紊乱患者的应用效果评价

Application of Immune-Nutrition Therapy in a Gastrointestinal Dysfunction Patient

摘要: 目的：观察免疫营养疗法在成年胃肠功能紊乱患者的临床治疗操作性、治疗效果及副作用。方法：将我院康复医学科治疗的1例确诊为缺血缺氧性脑病的成年患者选作此项研究的对象。综合分析病史、疾病情况和实验室检查结果，经与临床医护人员及其家属沟通后，对该患者进行免疫营养治疗。结果：营养治疗期间患者胃肠功能紊乱纠正、消化吸收功能改善、蛋白质能量营养不良解决，无其他不良反应。此外，依据患者病情发展、结合康复治疗所需、设立阶段性治疗目标、制定个性化营养治疗方案、密切跟踪提高方案执行度，可起到良好的营养治疗效果。结论：免疫营养疗法对该患者胃肠功能紊乱的疗效较好，阶段个性化治疗方案制定对改善其整体营养状况有显著效果，多学科诊疗机制的设立和实施对营养治疗的全过程起到保障治疗效果、缩短住院周期并降低住院总费用的作用。

Abstract: Objective: To evaluate the treatment and side-effect of Immune-Nutrition Therapy (INT) in a ga-strointestinal dysfunction (GD) patient. Patient: A male inpatient of rehabilitation department who was diagnosed as GD. Method: With the comprehensive analysis of the patient`s condition, laboratory examinations and medical history, his nutrition status has been diagnosed as Pro-tein-Energy Malnutrition (PEM) with GD. The specific INT was formulated and modulated during the whole treatment with the usage of glutamine (Gln). Result: The symptoms of GD have been cured and his digestive tract was recovered of digestive and absorptive function. His nutrition status has been improved as the anemia and PEM were corrected by INT at the same time. There was no distinct side-effect during the therapy. Conclusion: INT has shown reliable and significant curative effects in gastrointestinal dysfunction situation, not only in nutrition perspective but the clinical therapy as well. A personalized plan of Medical Nutrition Therapy (MNT) with high flexibility of modulation with the patient`s specific condition was required to ensure the therapeutic efficacy. The rational application of INT among inpatients with poor nutrition status could contribute to the main clinical treatment. In conclusion, MNT and INT could improve the clinical outcome by shortening the rehabilitation therapy and cutting down the hospitalization cost.