期刊文献+

肠内营养联合护理干预对胆汁淤积性肝病患儿恢复的影响 被引量:1

Effect of enteral nutrition combined with nursing intervention on recovery in children with cholestatic liver disease
下载PDF
导出
摘要 目的 探讨肠内营养联合护理干预对胆汁淤积性肝病患儿恢复的影响。方法 选取2016年3月至2017年3月本院收治的胆汁淤积性肝病患儿62例,按照随机数字表法分成对照组和观察组,各31例。对照组给予普通配方奶粉营养干预,观察组接受肠内营养结合护理干预,比较两组患儿的营养状况、肝功能情况。结果 观察组干预后上臂围、中腹皮肤皱褶分别为(11.75±0.84)cm、(0.58±0.11)cm,均较对照组的(11.20±0.79)cm、(0.51±0.14)cm高;观察组白蛋白水平为(42.13±3.08)g/L,高于对照组的(36.84±3.75)g/L;观察组ALT、DBIL值分别为(61.85±29.43)U/L、(29.91±18.53)mmol/L,均低于对照组的(80.76±32.41)U/L、(44.32±26.72)mmol/L;两组比较,差异均有统计学意义(均P<0.05)。结论 肠内营养联合护理干预可有效改善胆汁淤积性肝病患儿的营养状况,促进肝功能恢复,利于预后。 Objective To investigate the effect of enteral nutrition combined with nursing intervention on recovery in children with cholestatic liver disease.Methods 62 children with cholestatic liver disease who admitted in our hospital from March,2016 to March,2017 were selected,and were divided into a control group(31 cases)and an observation group(31 cases)by random number table.The control group took nutrition intervention with ordinary formula milk powder,while the observation group was given enteral nutrition and nursing intervention.The nutritional status and liver function in the two groups were compared.Results After the intervention,the upper arm circumference,middle abdominal skin-fold,and level of albumin in observation were higher and the ALT and DBIL were lower in the observation group than the control group[(11.75±0.84)cm vs.(11.20±0.79)cm,(0.58±0.11)cm vs.(0.51±0.14)cm,(42.13±3.08)g/L vs.(36.84±3.75)g/L),(61.85±29.43)U/L vs.(80.76±32.41)U/L,and(29.91±18.53)mmol/L vs.(44.32±26.72)mmol/L;all P<0.05].Conclusion Enteral nutrition combined with nursing intervention for children with cholestatic liver disease can effectively improve their nutritional status,recovery of liver function,and prognosis.
作者 王玉美 于锰锰 Wang Yumei;Yu Mengmeng(Zhengzhou Children’s Hospital),Zhengzhou 450000,China)
出处 《国际医药卫生导报》 2019年第11期1717-1719,共3页 International Medicine and Health Guidance News
基金 2015年度河南省卫生和计划生育委员会科研项目(201503234).
关键词 胆汁淤积性肝病 肠内营养 护理干预 营养状况 肝功能 Cholestatic liver disease Enteral nutrition Nursing intervention Nutritional status Liver function
  • 相关文献

参考文献9

二级参考文献71

  • 1江少虎.思美泰与利胆醇治疗新生儿肝内胆汁淤积症的临床疗效观察[J].中国现代药物应用,2007,1(1):25-26. 被引量:9
  • 2Fu, Hai-Yan,Zhang, Shao-Ren,Yu, Hui,Wang, Xiao-Hong,Zhu, Qi-Rong,Wang, Jian-She.Most common SLC25A13 mutation in 400 Chinese infants with intrahepatic cholestasis[J].World Journal of Gastroenterology,2010,16(18):2278-2282. 被引量:29
  • 3Moyer V, Fresse DK, Whitington PF, et al. Guideline for the evaluation of cholestatic jaundice in infants:recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition [J]. J Pediatric Gastroenterol Nutr, 2004, 39(2): 115-128. 被引量:1
  • 4Scott Nightingale, Vicky Lee Ng. Neonatal hepatitis. Pediat- ric gastrointestinal and liver disease [M]//Wyllie R, Hyams JS, Kay M. Pediatric gastro intestinal and liver disease. 4th ed. Philadelphia: Saunders, 2011: 728-740. 被引量:1
  • 5NightingaleS, NgVL. Optimizing nutritional management in children with chronic liver disease [J]. Pediatr Clin North Am, 2009, 56(5): 1161-1183. 被引量:1
  • 6Braunschweig CL, Levy P, Sheen PM, et al. Enteral com- pared with parenteral nutrition: a meta-analysis [J]. Am J Clin Nutr, 2001,74(4): 534-542. 被引量:1
  • 7Greer R, Lehnert M, Lewindon P, et al. Body composition and components of energy expenditure in children with end- stage liver disease [J]. J Pediatr Gastroenterol Nutr,2003, 36(3): 358-363. 被引量:1
  • 8Nielsen MF, Caumo A, Aagaard NK, et al. Contribution of defects in glucose uptake to carbohydrate intolerance in liver cirrhosis:assessment during physiological glucose and insulin concentrations [J]. Am J Physiol Gastrointest Liver Physiol, 2005, 288(6): G1135 -G1143. 被引量:1
  • 9Deirdre Kelly. Liver faliure. Pediatric gastrointestinal and liver disease [M]//Wyllie R, Hyams JS, Kay M. Pediatric gastro intestinal and liver disease. 4th ed. Philadelphia: Saunders, 2011: 840-852. 被引量:1
  • 10Charlton CP, Buchanan E, Holden CE, et al. Intensive en- teral feeding in advanced cirrhosis: reversal of malnutrition without precipitation of hepatic encephalopathy [J]. Arch Dis Child, 1992,67(5): 603 -607. 被引量:1

共引文献78

同被引文献13

引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部