早期肠内营养护理干预对重症急性胰腺炎患者营养状况及实验室指标的影响  

The Effect of Early Enteral Nutrition Nursing Intervention on the Nutritional Status and Laboratory Indicators of Patients with Severe Acute Pancreatitis

作　　者：余敏 YU Min(Department of Intensive Care Unit,Fujian Medical University Affiliated Union Medical College Hospital,Fuzhou 350001,China)

机构地区：[1]福建医科大学附属协和医院重症医学科,福州350001

出　　处：《中国医药指南》2024年第26期60-62,共3页Guide of China Medicine

摘　　要：目的以重症急性胰腺炎患者作为观察对象,以早期肠内营养护理干预作为护理方法,就观察对象采用上述护理方法的临床效果进行详细分析和探讨。方法本文的观察对象为我院58例重症急性胰腺炎患者,病例选取时间为2021年1月至2024年4月,依据不同的护理方法将观察对象分为两组,采用常规肠外营养干预的患者取名为对照组,该组例数为29例;采用早期肠内营养护理干预的患者取名为观察组,该组例数为29例,两组均连续干预1个月。对比两组干预前后的营养状况、实验室指标及并发症发生率。结果干预后,两组总蛋白(TP)、白蛋白(ALB)、血红蛋白(Hb)均升高且观察组更高(P<0.05);两组血清淀粉酶、尿淀粉酶水平均降低且观察组更低(P<0.05);在并发症发生率的比较上,与对照组相比,观察组较低(P<0.05)。结论对于重症急性胰腺炎患者而言,采用早期肠内营养护理干预能获得较为理想的护理效果,不仅可以有效提高其机体的营养状况,还可以改善其实验室指标,减少并发症的发生。Objective To analyze and explore the clinical effects of early enteral nutrition nursing intervention on patients with severe acute pancreatitis,using the above nursing methods as the observation object.Methods The observation subjects of this article were 58 patients with severe acute pancreatitis,selected from January 2021 to April 2024.According to different nursing methods,the observation subjects were divided into two groups.Patients who received conventional parenteral nutrition intervention were named the control group,with a total of 29 cases in this group;The patients who received early enteral nutrition intervention were named the observation group,with a total of 29 cases.Nutritional status,laboratory indexes and incidence of complications were compared between the two groups before and after intervention.Results After intervention,total protein(TP),albumin(ALB),hemoglobin(Hb)were increased in both groups and higher in observation group(P<0.05).Serum amylase and urine amylase levels were decreased in both groups,and lower in observation group(P<0.05).Compared with the control group,the observation group had a lower incidence of complications(P<0.05).Conclusions For patients with severe acute pancreatitis,early enteral nutrition nursing intervention can achieve ideal nursing effects.It can not only effectively improve their nutritional status,but also improve their laboratory indicators and reduce the occurrence of complications.

关 键 词：重症急性胰腺炎 早期肠内营养护理干预 营养状况 血清淀粉酶 尿淀粉酶 

分 类 号：R576[医药卫生—消化系统] R473.5[医药卫生—内科学]