早期肠内营养配合护理对策对消化系统重症患者的营养状况及预后的影响  

Early enteral nutrition with nursing intervention for improvement of nutritional status and prognosis in critically ill patients in gastroenterology department

作　　者：马丽萍[1] 仲桂英[1] 雷占萍 李南香 

机构地区：[1]青海大学附属医院神经内科,青海省西宁市810001 [2]青海大学附属医院消化科,青海省西宁市810001

出　　处：《世界华人消化杂志》2014年第30期4679-4682,共4页World Chinese Journal of Digestology

摘　　要：目的:探讨早期肠内营养配合护理对策对消化系统重症患者的营养状况及预后的影响.方法:选择2013-01/2013-10青海大学附属医院接诊的120例消化系统重症患者进行研究.按照随机数表法将其随机分为观察组和对照组.其中观察组60例,对照组为60例.对照组采用常规治疗的护理下的肠外营养支持治疗及肠内营养,观察组采用早期肠内营养配合肠外营养,在对照组基础上给予肠内营养的护理.然后进行两组患者住院时长、治愈人数、并发症人数、后遗症人数以及其蛋白含量的比较.结果:观察组的住院时长明显短于对照组(P<0.05);观察组和对照组的治愈率分别为83.33%和38.33%,观察组的治愈人数多于对照组的治愈人数(P<0.05);观察组与对照组的并发症发病率分别为1.67%和13.33%,观察组少于对照组(P<0.05);观察组与对照组的后遗症发生比率为3.33%与18.33%,观察组少于对照组(P<0.05).两组患者在治疗前总蛋白、血红蛋白、清蛋白和转铁蛋白相比没有统计学差异(P>0.05);治疗后观察组的总蛋白和转铁蛋白高于对照组(P<0.05);治疗后观察组的血红蛋白和清蛋白比较也无统计学差异(P>0.05).结论:早期肠内营养配合肠内营养的护理对策对消化系统重症患者的营养改良状况优于常规治疗的护理下的肠外营养支持治疗及肠内营养,能够增强患者的免疫力,值得临床推广.AIM： To investigate the impact of early enteral nutrition with nursing intervention on the nu- tritional status and prognosis of critically ill pa- tients in gastroenterology department. METHODS： One hundred and twenty critically ill patients treated in gastroenterology depart- ment of our hospital from January 2013 to Oc- tober 2013 were randomly into either an experi- mental or a control group, with 60 patients in each group. The experimental group was treated by early enteral nutrition with parenteral nutri- tion, and the control group received only simple parenteral nutrition therapy. The same caremeasures were used in the two groups. Duration of hospitalization, cure rate, rate of death, rate of complications, rate of cases with sequelae, and protein contents were compared between the two groups. RESULTS： The duration of hospitalization was significantly shorter in the experimental group than in the control group （P 〈 0.05）. The cure rate was significantly higher in the experimental group than in the control group （83.33% vs 38.33%, P 〈 0.05）. The rates of complications and sequelae were significantly lower in the experimental group than in the control group （1.67% vs 13.33%, 3.33% vs 18.33%, P 〈 0.05）. There were no significant differences between the two groups in total protein, hemoglobin, albumin and transferrin before treatment （P 〉 0.05）; however, total protein and transferrin after treatment were significantly higher in the experimental group than in the control group （P 〈 0.05）, although there was no significant differences between the two groups in hemoglobin and albumin after treatment （P 〉 0.05）. CONCLUSION： Early enteral nutrition with nursing intervention can significantly improve nutritional status and prognosis of critically ill patients in gastroenterology department.

关 键 词：早期肠内营养 消化系统重症患者 营养状况 

分 类 号：R473.5[医药卫生—护理学]