脾肾静脉分流联合断流术后早期肠内营养支持的护理干预  

Nursing intervention of early enteral nutrition support of patients after devascularization combined with splenorenal vein shunt

作　　者：姬润调 

机构地区：[1]陕西省榆林市第一医院,陕西榆林719000

出　　处：《实用临床医药杂志》2015年第24期223-224,244,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨脾肾静脉分流联合断流术后早期肠内营养支持的护理干预方法。方法将1400例行脾肾静脉分流联合断流术的患者作为研究对象,随机地分为实验组和对照组各700例,2组术后行早期肠内营养支持,对照组给予常规护理,实验组给予综合护理干预。统计2组患者应用护理干预前后血浆蛋白和尿素氮含量、术后可能的不良反应及肠道排气时间。结果经营养治疗和护理后,2组患者总体健康状况明显提高,血浆前白蛋白明显下降,术后4d和8d时2组血浆前白蛋白含量、尿素氮含量、术后肠道通气时间相比差异不显著;2组患者均有不同程度的不良反应发生,且实验组不良反应发生率较对照组更低。经适当护理后,症状均得到改善。结论对行脾肾静脉分流联合断流患者在术后给予综合护理干预后,患者营养状况较好,术后肠道通气时间较短,肠道功能恢复较快,且不良反应发生率较低、减少了溃疡、胆汁淤积、胃肠道细菌移位感染等严重不良情况的发生。Objective To explore nursing intervention methods of early enteral nutrition support after splenorenal vein shunt combined with devascularization. Methods A total of 1400 cases with splenorenal vein shunt combined with devascularization were as the research objects and were randomly divided into experimental group and control group with 700 cases in each group. The patients in two groups were given postoperative early enteral nutrition support. Patients in the control group were given routine nursing while the experimental group was given comprehensive nursing intervention. The levels of plasma protein and urine nitrogen,the possible adverse reactions and the time of the intestinal tract before and after nursing intervention were analyzed in two groups. Results After nutritional treatment and nursing,overall health conditions of the patients were remarkably improved,plasma albumin was significantly decreased and there were no significant differences in plasma albumin,nitrogen content,and postoperative intestinal exhaust time after 4 days and 8 days of operation.The patients in the two groups occurred different degrees of adverse reactions and the incidence of adverse reaction in the experimental group was lower than that in the control group. After appropriate nursing,the symptoms were alleviated. Conclusion After comprehensive nursing intervention for patients with splenorenal vein shunt combined with devascularization,the nutritional status of the patients is better,with shorter postoperative bowel exhaust time,quicker intestinal function recovery,and lower rate adverse reactions. Meanwhile,the incidences of adverse reactions such as ulcer,cholestasis,and gastrointestinal bacterial translocation infection are reduced.

关 键 词：脾肾静脉分流 断流术 早期肠内营养支持 护理干预 

分 类 号：R473.6[医药卫生—护理学]