“零禁食”对重症烧伤患者近期疗效的影响  

The Effect of "Zero-Fasting" on the Major Burns Patients

作　　者：周继涛[1] 张艳红[1] 谢向群[1] 吴卓桐[1] 黄晓靖[1] 范锟铻 谢立华[1] 

机构地区：[1]广东省深圳市第二人民医院烧伤整形科,518035

出　　处：《中华全科医学》2013年第4期639-640,共2页Chinese Journal of General Practice

摘　　要：目的观察"零禁食"对重症烧伤患者近期疗效的影响。方法 2010年3月-2011年3月间收治的重症烧伤患者40例,随机将患者分为对照组(n=17)和观察组(n=23),对照组患者休克期禁食,伤后72 h开始按常规饮食护理,观察组患者分适应期、渐进期和正常期3期进行渐进性饮食指导,不予禁食,护理干预期4周。比较两组患者上消化道出血、腹胀、腹泻、恶心、呕吐的发生率,空腹血糖、餐后2 h血糖,血清钾、钠、血清白蛋白浓度。结果入组时两组患者所有观察指标差异无统计学意义(P>0.05);观察结束时,两组患者上消化道出血、腹胀、腹泻、恶心、呕吐的发生率,空腹血糖、餐后2 h血糖、血清钾、血清钠浓度差异无统计学意义(P>0.05);而对照组患者血清白蛋白血症浓度低于观察组(P<0.05)。结论重症烧伤后"零禁食"并不增加患者胃肠道症状,不加重糖代谢异常,却能有效地预防重症烧伤患者低白蛋白血症、上消化道出血的发生。Objective To observe the effect of ＂Zero-Fasting＂ on the major burns patients.Methods The study group included 23 major burn patients admitted from Mar.2010 to Mar.2011,who guided by ＂Zero-Fasting＂ method and the control group included 17 major burn patients of matched conditions,who received routine diet nursing care.The stool occult blood,abdominal distension,diarrhea,nausea,vomiting,fasting blood sugar,blood potassium,blood sodium and serum albumin between the two groups at the end of the study were recorded and analyzed.Results There were no significant differences between the age,gender,area of burns,and knowledge degree between the two groups（P0.05）;there were no differences between stool occult blood,abdominal distension,diarrhea,nausea,vomiting,fasting blood sugar,blood potassium and blood sodium in the two groups at the end of the study（P0.05）,while the rate of hypoalbuminemia was significant higher than that in the control group（P0.05）.Conclusion The ＂Zero-Fasting＂ diet method can prevent the hypoalbuminemia in major burns patients,while it didn＇t increase the burden of the gastrointestinal function.

关 键 词：重症烧伤 零禁食 低白蛋白血症 胃肠道功能 

分 类 号：R473.52[医药卫生—护理学] R644[医药卫生—临床医学]