轻型急性胰腺炎患者口服喂养不耐受现状及影响因素分析  

Present status of oral feeding intolerance for patients with mild acute pancreatitis and analysis on influencing factors

作　　者：王旻静 王媛 徐雪华 张笑倩 陈明霞[3] 方小萍[4] Wang Minjing;Wang Yuan;Xu Xuehua;Zhang Xiaoqian;Chen Mingxia;Fang Xiaoping(Henan Provincial People’s Hospital/People’s Hospital of Zhengzhou University,Zhengzhou Henan 450003,China;China-Japan Friendship Hospital,Beijing 100029,China;Nanjing Medical University,Nanjing Jiangsu 211166,China;Jiangsu Province Hospital,Nanjing Jiangsu 210029,China)

机构地区：[1]河南省人民医院/郑州大学人民医院,河南郑州450003 [2]中日友好医院,北京100029 [3]南京医科大学,江苏南京211166 [4]江苏省人民医院,江苏南京210029

出　　处：《护理与康复》2022年第8期17-20,共4页Journal of Nursing and Rehabilitation

基　　金：江苏省重点学科建设项目,编号JX10617801。

摘　　要：目的调查轻型急性胰腺炎患者口服喂养不耐受现状并分析其影响因素。方法采用便利抽样法,选取88例轻型急性胰腺炎患者作为研究对象。根据患者是否发生口服喂养不耐受,将患者分为口服喂养耐受组和口服喂养不耐受组,采用多因素Logistic回归分析轻型急性胰腺炎患者口服喂养不耐受的影响因素。结果纳入88例患者中,有20例患者发生口服喂养不耐受,发生率为22.73%。单因素分析结果显示,两组患者入院时血糖值,入院时是否存在低钾血症、低蛋白血症,是否使用镇痛药以及入院时修改版胃瘫主要症状指数量表的恶心/呕吐维度得分差异具有统计学意义(P<0.05);Logistic回归分析结果显示,入院时血糖值、入院时修改版胃瘫主要症状指数量表的恶心/呕吐维度得分、使用镇痛药是轻型急性胰腺炎患者发生口服喂养不耐受的影响因素。结论入院时血糖高、修改版胃瘫主要症状指数量表的恶心/呕吐维度得分高、使用镇痛药的患者易发生口服喂养不耐受,临床护理工作中可重点监测此类患者的胃肠道功能,实施相应的护理措施,从而降低口服喂养不耐受的发生率。Objective To investigate the present status of oral feeding intolerance for patients with mild acute pancreatitis(MAP) and analyze its influencing factors. Method Choose 88 patients with MAP by convenient sampling. Divide them into oral feeding tolerance group and oral feeding intolerance group according to the status of oral feeding. Analyze the influencing factors of oral feeding intolerance for patients with MAP by multivariate Logistic regression analysis. Result There are 20 cases of oral feeding intolerance among 88 patients, the incidence is 22.73%. Single factor analysis shows that there is significant difference on admission blood glucose, admission hypokalemia and hypoproteinemia, use of analgesics and score on dimension of nausea/vomiting in Gastroparesis Cardinal Symptom Index Revised(GCSI-R) on admission between two groups(P<0.05). Logistic regression analysis shows that admission blood glucose, score on dimension of nausea/vomiting in GCSI-R on admission and use of analgesics are influencing factors of oral feeding intolerance for patients with MAP. Conclusion Patients with high admission blood glucose, high score on dimension of nausea/vomiting in GCSI-R on admission and using analgesics are prone to oral feeding intolerance. These patients’ gastrointestinal function should be intensively monitored in clinical nursing. Corresponding nursing measures should be provided to reduce the incidence of oral feeding intolerance.

关 键 词：胰腺炎 口服喂养 耐受 影响因素 

分 类 号：R473.57[医药卫生—护理学]