肠瘘感染控制与营养护理效果分析  

Analysis on the Effect of Gastrointestinal Fistula Infection Control and Nutrition Care

作　　者：谭丽[1] 欧阳建怡[1] 

机构地区：[1]中南大学湘雅医院普外科,湖南长沙410008

出　　处：《实用预防医学》2011年第8期1580-1581,共2页Practical Preventive Medicine

摘　　要：目的总结肠瘘患者临床治疗的护理经验。方法对52例肠瘘患者充分引流,控制感染的基础上,实施肠外、肠内营养支持疗法,并予以有效的常规护理、心理护理和瘘口护理等措施。结果 52例肠瘘患者住院50~120 d,平均85 d。治愈37例,治愈率为71.2%,10例好转出院,死亡5例。结论在充分引流、控制感染的基础上,采用肠外、肠内营养支持治疗,同时加强患者心理护理、常规护理、引流管护理和瘘口护理等措施,可提高患者生活质量,取得满意的治疗效果。Objective To summarize the nursing experience on clinical treatment of patients with gastrointestinal fistula.Methods Fifty-two cases were treated by sufficient drainage,controlling infection,applying TPN and EN.And the effective conventional care,psychological care,fistula care and other measures were simultaneously taken.Results Fifty-two cases were hospitalized from 50 to 120 days,and the average duration was 85 days.Of the 52 patients,38 were cured successfully,with the cure rate of 71.2%.10 cases were discharged from hospital.And 5 cases died.Conclusions On the basis of full drainage and infection control,the parenteral nutrition and enteral nutrition therapy,psychological care,routine care,drainage tubes nursing care and fistula care should be taken to improve the patients＇ living quality.And the curative effect is satisfactory.

关 键 词：肠瘘 感染控制 营养护理 

分 类 号：R473.6[医药卫生—护理学]