护理干预联合肠内营养对神经内科肠功能障碍患者预后的影响  

Effect of enteral nutrition with nursing intervention on the prognosis of the patients with severe intestinal dysfunction in Neurology

作　　者：周在霞[1] 赵娜[1] 赵琳琳[1] 李芹[1] 

机构地区：[1]山东省滨州市中心医院神经内科,251700

出　　处：《中华现代护理杂志》2013年第23期2786-2789,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨护理干预联合肠内营养对神经内科肠功能障碍患者预后的影响.方法 选择2011年7月至2012年6月神经内科肠功能障碍的120例重症患者,将患者分为对照组58例与观察组62例,对照组进行肠内营养与常规护理,观察组在常规护理的基础上进行肠内营养的营养液输注与并发症护理.观察两组患者的病程、治愈率、病死率、后遗症以及并发症,并检测血清总蛋白（TP）、血清白蛋白（ALB）以及血清前蛋白（PA）的变化.结果 观察组持续病程（55.2±8.3）d,明显短于对照组的（87.7±10.5）d,两组比较差异有统计学意义（t=-18.872,P＜0.05）；观察组治愈率为95.2％,对照组为6.2％,两组比较差异有统计学意义（x2=77.235,P＜0.05）；观察组病死1例（1.6％）,后遗症6例（8.6％）,明显低于对照组（5,13例）,两组比较差异有统计学意义（x2=5.062,5.985；P＜0.05）.观察组发生上消化道出血0例,电解质紊乱5例,肝肾功能损害2例,神经功能损害10例,与对照组比较（分别为9,16,10,23例）,差异均有统计学意义（x2值分别为10.401,7.910,6.541,8.319;P ＜0.05）.观察组治疗后TP、ALB、PA含量明显较治疗前提高,与对照组比较[（68.2±2.3）/（61.5±2.1）g/L,（36.8 ±2.1）/（31.7 ±2.0）g/L,（251.8±30.01）/（173.1±27.6）mg/L],差异具有统计学意义（t值分别为14.149,12.842,10.792;P ＜0.05）.结论 护理干预联合肠内营养科有效缩短患者病程,提高治愈率,降低病死率及并发症,并有效提高TP、ALB及PA的含量.Objective To explore the effect of enteral nutrition with nursing intervention on the prognosis of the patients with severe intestinal dysfunction in Neurology.Methods One hundred and twenty patients were chosen and randomly divided into the control group （n =58） and the observation group （n =62）from July 2011 to June 2012.The control group received enteral nutrition and routine care.The observation group received enteral nutrition and complications of care on the basis of the routine care.The course of disease,the cure rate,mortality,sequelae and complications were observed in patients.The serum total protein （TP）,serum albumin （ALB） and serum precursor protein （PA） were detected in the two groups.Results The course of disease was （55.2 ± 8.3） d in the observation group,shorter than （87.7 ± 10.5） d in the control group,the difference was statistically significant （t =-18.872,P ＜ 0.05）.The cure rate was 95.2％ in the observation group,higher than 36.2％ in the control group,the difference was statistically significant （x2 =77.235,P ＜0.05）.The mortality （one case,1.6％） and sequelae （six cases,8.6％） of the observation group were lower than those of the control group （five and thirteen cases,respectively）,the difference between the control and observation group was statistically significant （x2 =5.062,5.985,respectively; P ＜ 0.05）.The major complications of upper gastrointestinal bleeding,electrolyte imbalance,liver and kidney dysfunction and neurological impairment was respectively 0,5,2,10 cases in the observation group,and 9,16,10,23 cases in the control group,the difference was statistically significant （x2 =10.401,7.910,6.541,8.319,respectively;P ＜0.05）.The TP,ALB,PA in the observation group were significantly increased after the treatment,and higher than those of the control group [（68.2 ± 2.3） / （61.5 ± 2.1） g/L,（36.8 ± 2.1） / （31.7 ± 2.0） g/L,（251.8 ± 30.01）/（173.1 ± 27.6）mg/L],the difference was statistical

关 键 词：神经内科 肠内营养 护理 肠功能障碍 

分 类 号：R473.74[医药卫生—护理学]