健康宣教联合肠内营养干预对桥小脑角手术患者术后早期康复的影响分析  

Effect of health education combined with enteral nutrition intervention on early rehabilitation after cerebellopontine angle surgery

作　　者：卢泽玲 巫秋霞[1] LU Ze-ling;WU Qiu-xia(Guangdong People’s Hospital (Guangdong Academy of Medical Sciences),Guangzhou 510080,China)

机构地区：[1]广东省人民医院(广东省医学科学院)

出　　处：《中国现代药物应用》2019年第13期225-227,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探究健康宣教联合肠内营养干预对桥小脑角手术患者术后早期康复的影响。方法62例行桥小脑角手术患者,根据干预方法不同分为对照组与观察组,各31例。对照组患者给予健康宣教联合肠外营养干预,观察组患者给予健康宣教联合肠内营养干预。比较两组住院期间营养相关并发症发生情况、干预前及干预7d后营养指标、神经功能缺损程度。结果干预前,两组患者血清总蛋白(TP)、血红蛋白(Hb)水平比较,差异无统计学意义(P>0.05);干预7d后,两组血清TP、Hb水平均高于干预前,观察组患者血清TP、Hb水平高于对照组,差异具有统计学意义(P<0.05)。干预前,两组患者改良爱丁堡-斯堪的纳维亚评分(MESSS)比较,差异无统计学意义(P>0.05);干预7d后,两组患者MESSS评分均低于干预前,且观察组MESSS评分低于对照组,差异具有统计学意义(P<0.05)。观察组患者住院期间营养相关并发症总发生率为29.03%,明显低于对照组的54.84%,差异具有统计学意义(P<0.05)。结论肠内营养制剂联合健康宣教可改善桥小脑角手术患者术后营养状态,并促进患者神经功能恢复,还能降低营养相关并发症发生风险,于患者术后早期康复有利。Objective To investigate the effect of health education combined with enteral nutrition intervention on early rehabilitation after cerebellopontine angle surgery.Methods A total of 62 patients undergoing cerebellopontine angle surgery were divided by different intervention methods into control group and observation group,with 31 cases in each group.The control group received health education and parenteral nutrition intervention,and the observation group received health education combined with enteral nutrition intervention.Comparison were made on occurrence of nutrition related complications during hospitalization, nutritional indicators and degree of neurological defect before intervention and after 7 d of intervention between the two groups.Results Before intervention,both groups had no statistically significant difference in serum total protein (TP) and hemoglobin (Hb)(P>0.05).After 7 d of intervention,both groups had higher TP and Hb than those before intervention,and the observation group had higher serum total protein (TP) than the control group.Their difference was statistically significant (P<0.05).Before intervention,both groups had no statistically significant difference in modified Edinburgh Scandinavia stroke scale (MESSS)(P>0.05).After 7 d of treatment,both groups had lower MESSS score than those before intervention,and the observation group had lower MESSS score than the control group.Their difference was statistically significant (P<0.05).The observation group had obviously lower total incidence of nutrition related complications during hospitalization as 29.03% than 54.84% in the control group,and the difference was statistically significant (P<0.05).Conclusion Enteral nutrition preparation combined with health education can improve the nutritional status of patients after cerebellopontine angle surgery, and promote the recovery of neurological function.It can also reduce the risk of nutrition-related complications, and it is beneficial for early recovery of patients after surgery.

关 键 词：桥小脑角手术 肠内营养 健康宣教 早期康复 

分 类 号：R473.6[医药卫生—护理学]