肠内营养支持护理在爆炸型重度烧伤中的应用  

Application of enteral nutrition support nursing in patients with extensive severe burn

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作  者:郭志成 林雪荣 吕俊卿 李颖 王天伦 GUO Zhicheng;LIN Xuerong;LYU Junqing;LI Ying;WANG Tianlun(Emergency Department,the First Affiliated Hospital of Hebei North University,Zhangjiakou,Hebei 075061,China)

机构地区:[1]河北北方学院附属第一医院急诊科,河北张家口075061 [2]河北北方学院附属第一医院急诊重症监护病房,河北张家口075061

出  处:《中国临床研究》2024年第11期1808-1811,共4页Chinese Journal of Clinical Research

基  金:河北省医学科学研究课题计划项目(20231453)。

摘  要:目的探讨肠内营养支持护理在爆炸型重度烧伤中的应用及对患者免疫功能及创面恢复的影响。方法回顾性分析河北北方学院附属第一医院2019年1月至2020年9月200例大面积重度烧伤患者临床资料,将采用肠道外营养支持的患者98例纳入B组,将采用肠内营养支持护理的患者102例纳入A组,比较两组创面恢复情况、营养状态[主观综合性营养评估量表(SGA)、微型营养评价精简法(MNA-SF)]、胃肠功能、心理状态[伤残接受量表-修订版(ADS)]、生活质量[中文版精简烧伤健康量表(BSHS-B)]、不良反应发生情况。结果A组创面愈合时间短于B组(P<0.05);A组SGA评分[(12.91±2.06)分]低于B组[(14.36±2.11)分],MNA-SF评分[(11.29±1.04)分]高于B组[(9.88±1.50)分](P<0.05);A组入院后7 d、14 d血清胃泌素、血浆胃动素水平高于B组(P<0.05);A组ADS评分[(61.36±3.55)分]低于B组[(69.98±3.49)分](P<0.05);A组BSHS-B评分[(128.65±9.82)分]高于B组[(119.68±9.44)分](P<0.05);两组不良反应发生率比较差异无统计学意义(P>0.05)。结论肠内营养支持护理可促进爆炸型重度烧伤患者创面愈合,加快胃肠功能的恢复,增进营养,改善患者心理状态,提高生活质量。Objective To explore the application of enteral nutrition support nursing and its influences on immune function and wound recovery in patients with extensive severe burn.Methods The clinical data of 200 patients with extensive severe burns in the First Affiliated Hospital of Hebei North University from January 2019 to September 2020 were retrospectively analyzed.Among them,98 cases who were given parenteral nutrition support were included in group B,while other 102 cases who were given enteral nutrition support nursing were included in group A.The wound recovery,nutritional status[subjective global assessment(SGA),short-form mini-nutritional assessment(MNA-SF)],gastrointestinal function,psychological state[acceptance of disability scale(ADS)],quality of life[Chinese version of the Brief Burn Specific Health Scale(BSHS-B)]and occurrence of adverse reactions were compared between the two groups.Results The wound recovery time in group A was shorter than that in group B(P<0.05).SGA score in group A was lower than that in group B[(12.91±2.06)points vs(14.36±2.11)points],while MNA-SF score was higher than that in group B[(11.29±1.04)points vs(9.88±1.50)points](P<0.05).At 7 d and 14 d after admission,levels of serum gastrin and plasma motilin in group A were higher than those in group B.ADS score in group A was lower than that in group B[(61.36±3.55)points vs(69.98±3.49)points,P<0.05],while BSHS-B score was higher than that in group B[(128.65±9.82)points vs(119.68±9.44)points,P<0.05].There was no significant difference in incidence of adverse reactions between the two groups(P>0.05).Conclusion Enteral nutrition support nursing can promote wound healing in patients with extensive severe burns,accelerate the recovery of gastrointestinal function,enhance nutrition,improve psychological state and quality of life.

关 键 词:重度烧伤 肠内营养支持 营养状态 创面恢复 胃动素 

分 类 号:R644[医药卫生—外科学]

 

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