输液泵在脑出血患者肠内营养液喂养中的应用  

Application of Infusion Pump in the Feeding of Enteral Nutrient Solution in Patients with Cerebral Hemorrhage

作　　者：王小兰[1] 罗美珍[1] 谢堃 王小红[1] 欧阳丽娟[1] WANG Xiao-lan;LUO Mei-zhen;XIE Kun;WANG Xiao-hong;OUYANG Li-juan(Nursing Department,Anfu County People's Hospital,Anfu 343200,Jiangxi,China)

机构地区：[1]安福县人民医院护理部,江西安福343200

出　　处：《医学信息》2021年第14期190-192,共3页Journal of Medical Information

基　　金：吉安市指导性科技计划项目(编号:吉市科计字﹝2020﹞20号)。

摘　　要：目的输液泵在脑出血患者肠内营养液喂养中的应用效果。方法选取2019年4月~2020年4月在我院治疗的48例脑出血患者为研究对象,采用随机数字表达法分为对照组和观察组,各24例。对照组采用注射器鼻饲喂养,观察组采用输液泵持续泵注营养液喂养,比较两组营养疗效、营养指标[血清白蛋白(ALB)、前白蛋白(PA)及血红蛋白(Hb)]、生活质量(SF-36)评分、不同时间段(第3、7天)肠内营养暂停次数、APACHE-Ⅱ评分以及并发症发生率。结果观察组肠内营养支持总有效率为95.83%,高于对照组的83.33%,差异有统计学意义(P<0.05);治疗后观察组血清ALB、PA、Hb水平均高于对照组,差异有统计学意义(P<0.05);治疗后观察组SF-36生活质量各维度评分均高于对照组,差异有统计学意义(P<0.05);观察组第3、7天肠内营养暂停次数均低于对照组,差异有统计学意义(P<0.05);治疗后,两组APACHE-Ⅱ评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为8.33%,低于对照组的16.68%,差异有统计学意义(P<0.05)。结论输液泵在脑出血患者肠内营养液喂养中具有显著的应用效果,可提高营养支持总有效率,改善营养状况,提升生活质量水平,降低APACHE-Ⅱ评分和并发症发生率,促进患者病情改善,应用安全性良好。Objective The application effect of infusion pump in the feeding of enteral nutrient solution in patients with cerebral hemorrhage.Methods A total of 48 patients with cerebral hemorrhage who were treated in our hospital from April 2019 to April 2020 were selected as the research objects.They were divided into a control group and an observation group by random number expression,with 24 cases in each group.The control group was fed with syringe nasal feeding,and the observation group was fed with an infusion pump continuously pumping nutrient solution.Comparison of nutritional efficacy,nutritional indicators[serum albumin(ALB),prealbumin(PA)and hemoglobin(Hb)],quality of life(SF-36)scores,different time periods(days 3 and 7)in the intestines the number of nutritional pauses,APACHE-Ⅱscore and the incidence of complications.Results The total effective rate of enteral nutrition support in the observation group was 95.83%,which was higher than 83.33%in the control group,the difference was statistically significant(P<0.05);After treatment,the serum ALB,PA and Hb levels of the observation group were higher than those of the control group,the difference was statistically significant(P<0.05);After treatment,the scores of all dimensions of SF-36 quality of life in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05);The number of enteral nutrition pauses on the 3rd and 7th d of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05);After treatment,the APACHE-Ⅱscores of the two groups were lower than before treatment,and the observation group was lower than the control group,the difference was statistically significant(P<0.05);The incidence of complications in the observation group was 8.33%,which was lower than 16.68%in the control group,the difference was statistically significant(P<0.05).Conclusion The infusion pump has a significant application effect in the feeding of enteral nutrition in pa

关 键 词：输液泵 脑出血 肠内营养 APACHE-Ⅱ评分 生活质量 

分 类 号：R473.6[医药卫生—护理学]