克隆氏病6例营养支持护理体会  

Experience of nursing care of 6 patients with Crohn disease treated with nutriment therapy

作　　者：夏美莲[1] 陈文峰[1] 苑连美[1] 

机构地区：[1]潍坊市人民医院,山东潍坊261041

出　　处：《齐鲁护理杂志》2007年第3期5-6,共2页Journal of Qilu Nursing

摘　　要：目的:探讨克隆氏病(CD)伴有营养不良患者营养支持护理方法。方法:对6例克隆氏病出现中、重度蛋白质热能营养不良患者采用肠内、肠外联合应用进行营养支持与护理,对治疗前后结果进行比较。结果:营养支持前后人体测量指标水平升高,但差异无显著性(P>0.05);血浆蛋白指标营养支持前后TP水平明显升高,差异有极显著性(P<0.01);ALB、PA、TF、FN水平明显上升,差异有显著性(P<0.05);营养支持前后HB水平略有上升,但差异无显著性(P>0.05)。结论:营养支持对克隆氏病的恢复起重要作用,采用肠内营养治疗辅以谷氨酰胺,肠外营养加用重组生长激素,对于恢复肠功能、纠正低蛋白血症、改善临床症状有显著疗效。Objective: To study the methods of nursing care in the treatment of CD with nutriment therapy.Methods: The enteral and benteric nutriment therapy was applied to 6 patients with mild and severe protein-caloric malnutrition and proper nursing care was taken at the same time,the comparison was made before and after treatment.Results: The indexes of body measurement were increased after nutriment therapy,but significant difference was not found(P>0.05).TP was much higher after nutriment therapy corresponding to plasma protein and there was significant difference(P<0.01).ALB,PA,TF,FN were increased obviously and significant difference was found(P<0.05).HB was increased a little and there was no significant difference(P>0.05).Conclusion: Nutriment therapy plays an important role in the improvement of patient's nutrition conditions in the treatment of CD.

关 键 词：克隆氏病 营养支持 生长激素 谷氨酰胺 护理 

分 类 号：R473.5[医药卫生—护理学]