急性胰腺炎病人经口进食不耐受现状及影响因素分析  

Analysis of oral feeding intolerance and its influencing factorsin patients with acute pancreatitis

作　　者：梅立春 王菊霞 刘雷 齐华丽 MEI Lichun;WANG Juxia;LIU Lei;QI Huali(Department of Emergency Surgery,Fuyang Hospital Affiliated to Anhui Medical University,Fuyang Anhui 236000,China)

机构地区：[1]安徽医科大学附属阜阳医院急诊外科,安徽阜阳236000

出　　处：《蚌埠医学院学报》2024年第8期1106-1109,1115,共5页Journal of Bengbu Medical College

摘　　要：目的:调查急性胰腺炎(AP)病人经口进食不耐受(OFI)现状,并探讨其影响因素,为临床制定干预策略提供依据。方法:采用便利抽样法抽取AP 117例,根据经口进食是否耐受分为经口进食耐受组(93例)和OFI组(24例),比较2组病人一般资料、实验室指标、胃肠功能的主观感受、情绪自我调节效能,并采用多因素logistic回归分析OFI发生的影响因素。结果:回归结果显示,入院时胃肠功能(GCSI-R)和血糖(GLU)、进食前白细胞(WBC)、C反应蛋白(CRP)和情绪自我调节效能(RESE)是经口进食不耐受的独立影响因素(P<0.05)。模型拟合良好,预测模型对经口进食不耐受有较高预测价值(AUC=0.972,95%CI:0.935~1.000,P<0.01)。结论:入院时GCSI-R、GLU、进食前WBC、CPR和RESE是OFI发生的影响因素,临床应该在重视实验室检查指标的同时,关注病人胃肠主观感受和情绪调节能力,并进行针对性护理。Objective:To investigate the status quo of oral feeding intolerance(OFI)in acute pancreatitis(AP),and explore its influencing factors so as to provide evidence for clinical intervention strategies.Methods:A total of 117 cases of AP were selected by convenient sampling method.According to their tolerance to oral feeding,the patients were divided into the oral feeding tolerance group(93 cases)and oral feeding intolerance group(24 cases).The general data,laboratory indicators,subjective perception of gastrointestinal function and emotional self-regulation efficacy between two groups were compared,and the influencing factors of OFI were analyzed by multivariate logistic regression.Results:The results of regression showed that the gastrointestinal function(GCSI-R)and blood glucose(GLU)at admission,white blood cells(WBC)before feeding,C-reactive protein(CRP)and emotional self-regulation efficacy(RESE)were the independent influencing factors of OFI(P<0.05).The fit of model was good,and the prediction model had high predictive value for OFI(AUC=0.972,95%CI:0.935-1.000,P<0.01).Conclusions:GCSI-R and GLU at admission,WBC before feeding,CPR and RESE are the influencing factors of OFI occurrence.Clinical care should pay attention to the subjective gastrointestinal feelings and emotional regulation ability of patients while paying attention to laboratory examination indicators.

关 键 词：急性胰腺炎 经口进食不耐受 影响因素 情绪自我调节效能 

分 类 号：R473[医药卫生—护理学]