ICU颅脑损伤患者早期营养支持的临床护理干预  

Clinical nursing intervention of early nutritional support for ICU patients with craniocerebral injury

作　　者：余燕梅[1] 曹玉芳[1] 

机构地区：[1]海南省海口市人民医院重症医学科,海南海口570208

出　　处：《实用临床医药杂志》2017年第16期11-13,共3页Journal of Clinical Medicine in Practice

基　　金：海南省自然科学基金项目(310143)

摘　　要：目的探讨ICU颅脑患者早期营养支持的临床护理干预方法。方法选取医院ICU重型颅脑损伤患者80例作为研究对象,采用随机数字表法将患者分为对照组和观察组,对照组予以肠外营养支持及护理,实验组予以肠内营养支持及护理,对比2组干预前后营养状态和免疫状态,记录2组营养支持期间并发症发生率。结果观察组治疗后血红蛋白、总蛋白及血清白蛋白均显著高于对照组(P<0.05)。观察组营养7 d后CD_3^+、CD_4^+、CD_4^+/CD_8^+均显著高于对照组(P<0.05);观察组电解质紊乱、上消化道出血、应激性溃疡发生率显著低于对照组,差异均有统计学意义(P<0.05)。结论合理肠内营养支持及护理能够改善ICU颅脑损伤营养状态,提高机体免疫力。Objective To investigate the clinical nursing intervention of early nutritional sup- port for ICU patients with craniocerebral injury. Methods A total of 80 ICU cases with severe cranio- cerebral injury were as the research objects, and were divided into control group and observation group by the random number table method, the control group received parenteral nutrition support and nurs- ing, while the observation group was given enteral nutrition support and nursing care. The nutritional status and immune status of two groups were compared before and after intervention in two groups, and complications rates were recorded. Results After treatment, the levels of hemoglobin, total protein and serum lbumin during nutritional support were significantly higher than that in the control group, the differences were significant （P 〈 0.05 ）. The observation group had higher CD3 ＋ , CD4 ＋ , CD4 ＋ / CDs ＋ than the control group after 7 days of nutrition （P 〈 0.05 ） ; Electrolyte disturbance, upper gas- trointestinal bleeding, the incidence of stress ulcer in the observation group were lower than the control group （P 〈 0.05 ）. Conclusion Intestinal nutritional support and nursing care can improve the nutri- tional status of ICU brain injury patients and improve immunity.

关 键 词：ICU 颅脑损伤 肠内营养支持 护理干预 营养水平 

分 类 号：R473.6[医药卫生—护理学]