短肠综合征患者营养康复治疗的观察和护理  

Observation and nursing in rehabilitation and nutrition therapy for short bowel syndrome

作　　者：倪元红[1] 叶向红[1] 高勇[1] 彭南海[1] 

机构地区：[1]南京军区南京总医院解放军普通外科研究所,江苏南京210002

出　　处：《医学研究生学报》2007年第6期593-596,共4页Journal of Medical Postgraduates

基　　金：江苏省六大人才高峰基金资助项目(批准号:苏卫科教[2005]6号)

摘　　要：目的：研究和探索短肠综合征患者营养康复治疗的观察和护理重点，以及并发症的预防和处理措施。方法：选择短肠综合征患者119例，在其疾病的不同阶段实旌肠外营养（PN）、肠内营养（EN）及肠康复治疗。结果：108例完成预定治疗方案患者的营养状况明显改善、肠道吸收功能显著增强；实旌PN共3507次，有9例发生1～2次中心静脉导管感染；EN过程中有27例患者发生腹泻（3～7次／d）；12例患者因饮食不当引起腹泻（5～9次／d）；13例患者共发生15次喂养管堵塞；3例患者发生高血糖，均被及时发现和处理。结论：短肠综合征患者病情重，病程长，营养康复治疗中的仔细观察与良好护理是预防和及时处理并发症的关键。Objective ：To investigate the key points of observation and nursing in rehabilitation and nutrition therapy for patients with short bowel syndrome, the precautions and treatment of the complications were also studied. Methods：One hundred and nineteen patients with short bowel syndrome were studied, they were treated with parenteral nutrition, enteral nutrition and rehabilitation therapy in different phases. Results：The nutritional state and the absorptive function of the intestine were increased in 108 patients who completed the plans which were designed in advance. Parenteral nutrition were applied 3 507 times, among which 9 central venous catheter-associated infection were encountered. Twenty seven patients complained of diarrhea （3 to 7 times per day） when receiving enteral nutrition. In twelve patients, diarrhea was caused by improper drink and food. Feeding tubes were blocked 15 times in 13 patients. Hyperglycemia was found in 3 patients. All these complications were found and treated in time. Conclusion ：The pathogenetic conditions were serious and the courses were long in patients with short bowel syndrome. The key points in the timely treatment of the complications and promotion of rehabilitation were to observe and nursing carefully in rehabilitation therapy.

关 键 词：短肠综合征 营养 康复 护理 

分 类 号：R574.5[医药卫生—消化系统]