早期胃肠道营养护理对大面积烧伤病人胃肠道保护效果观察  

Effect of Early Gastrointestinal Nutrition Nursing on Gastrointestinal Protection in Patients with Large Area Burn

作　　者：刘里里[1] 陶莲德[1] 刘群英[1] 陈玉[1] Li-Li Liu;Lian-De Tao;Qun-Ying Liu;Yu Chen(Second People's Hospital,Yibin City,Sichuan Province,Sichuan 644000,China)

机构地区：[1]四川省宜宾市第二人民医院,四川644000

出　　处：《临床医学前沿》2019年第1期10-13,共4页

摘　　要：目的:探讨大面积烧伤病人早期实施胃肠道营养护理对保护其胃肠道的效果。方法:纳入2014年5月至2017年2月期间我院收治的162例大面积烧伤病人为研究对象,采用随机双盲法将其分为干预组(n=82)与对照组(n=80),对照组实施常规护理干预,干预组在对照组的基础上实施早期胃肠道营养护理,观察两组病人护理效果。结果:干预前两组病人胃肠道功能保护相关指标:胃肠减压量、胃肠黏膜内pH值(pHi)、腹腔内压力(IAP);营养指标:甘油三酯(TRIG)、总蛋白(TP)、白蛋白(Alb),相比较无显著差异(P>0.05);干预后,干预组胃肠减压量、pHi、IAP显著低于对照组(P<0.05),且干预组TRIG、Alb水平显著高于对照组(P<0.05),而两组干预后TP水平比较无显著差异(P>0.05);干预组护理总满意率(95.12%)显著高于对照组(77.50%)(P<0.05)。结论:早期胃肠道营养护理对大面积烧伤病人胃肠道具有较好的保护效果,并能有效改善患者营养状况,提高病人对护理的满意度,值得临床推广实施。Objective:To explore the effect of early gastrointestinal nutrition nursing on the protection of gastrointestinal tract in patients with extensive burns.Methods:In May 2014 to February 2017,our hospital during the period of 162 cases of large area burn patients as the research object,a randomized double blind method,it can be divided into intervention group(n=82)and the control group(n=80),the control group routine nursing intervention,intervention group in the control group on the basis of the implementation of early gastrointestinal nutrition care,to observe the effect of two groups of patient care.Results:There was no significant difference between the two groups in terms of gastrointestinal function protection indicators(gastrointestinal decompression,pHi,IAP)and nutritional indicators(TRIG,TP,Alb)before intervention(P>0.05).After the intervention,intervention group of gastrointestinal decompression,pHi and IAP was significantly lower than control group(P<0.05),and the intervention group TRIG,propagated were significantly higher than that of control group(P<0.05),while the two groups after intervention TP level was no significant difference(P>0.05);The total satisfaction rate of nursing in the intervention group(95.12%)was significantly higher than that in the control group(77.50%)(P<0.05).Conclusion:Early gastrointestinal nutrition care of large area burn patients with gastrointestinal tract good protection effect,and can effectively improve the nutritional status of patients improve patients satisfaction with nursing care,worth clinical promotion.

关 键 词：早期胃肠道营养护理 大面积烧伤 胃肠道保护 

分 类 号：R47[医药卫生—护理学]