1例小肠双腔造瘘合并急性胰腺炎超高龄患者的营养支持护理  

Nutritional support nursing of an over-aged patient with small intestine double cavity fistula complicated with acute pancreatitis

作　　者：赵欣[1] 南苗苗 王芳玲 曹维娜[1] 卫娜[1] 尚亮[1] 王妮[1] ZHAO Xin;NAN Miaomiao;WANG Fangling;CAO Weina*;WEI Na;SHANG Liang;WANG Ni(Shaanxi Provincial People's Hospital,Xi'an 710068,China)

机构地区：[1]陕西省人民医院,陕西西安710068

出　　处：《临床医学研究与实践》2024年第17期1-4,65,共5页Clinical Research and Practice

基　　金：陕西省人民医院2022年科技人才支持计划资助项目(No.2022JY-54);陕西省2023年科技计划项目(No.2023-ZDLSF-21)。

摘　　要：报道1例小肠双腔造瘘合并急性胰腺炎超高龄患者的营养支持护理经验。护理要点包括以营养状况评估、个体化的营养支持方案、使用肠内营养耐受性评估管理工具和中医适宜技术为主的营养支持护理,辅以功能锻炼和小肠双腔造口护理。患者急性胰腺炎期经过积极治疗,早期鼻空肠营养,及时调整营养支持方案为改良式(轻断食)喂养,现已恢复正常鼻饲量,营养状态良好。目前,小肠双腔造瘘合并急性胰腺炎的营养支持护理的相关报道较少,现将该患者的护理过程整理报道,以期为更多患者提供借鉴。This paper reports the experience of nutritional support nursing for an over-aged patient with small intestine double cavity fistula complicated with acute pancreatitis.The main points of nursing includes that nutritional status assessment,individualized nutritional support program,use of enteral nutrition tolerance assessment management tools and appropriate techniques of traditional Chinese medicine,supplemented by functional exercise and small intestine double-lumen ostomy nursing.After active treatment during the acute pancreatitis period,with early nasal jejunal nutrition and timely adjustment of the nutritional support program to modified(light fasting)feeding,the patient has now basically resumed normal nasal feeding volume with good nutritional status.At present,there are few reports on nutritional support nursing of small intestine double cavity fistula complicated with acute pancreatitis.The nursing process of this patient is summarized reported in order to provide reference for more patients.

关 键 词：小肠双腔造瘘 急性胰腺炎 肠内营养 造口护理 超高龄患者 

分 类 号：R5[医药卫生—内科学]