摘要
目的:观察规范化肠内营养(EN)护理在ICU重症急性胰腺炎患者中的应用效果。方法:选取122例ICU收治的重症急性胰腺炎患者为研究对象,按照随机数字表法分为观察组与对照组各61例。对照组采用常规EN护理,观察组采用规范化EN护理,比较两组营养指标(上臂肌围、肱三头肌皮褶厚度、血清白蛋白和前白蛋白)水平、临床相关指标(体温恢复时间、腹痛消失时间、机械通气时间、ICU停留时间和住院时间)水平和护理不良事件发生率。结果:护理后,观察组上臂肌围、肱三头肌皮褶厚度、血清白蛋白水平和前白蛋白水平均高于对照组,差异有统计学意义(P<0.05);观察组体温恢复时间、腹痛消失时间、机械通气时间、ICU停留时间和住院时间均短于对照组,差异有统计学意义(P<0.05);观察组脱管、堵管、吸入性肺炎和反流误吸等护理不良事件发生率均低于对照组,差异有统计学意义(P<0.05)。结论:规范化EN护理应用于ICU重症急性胰腺炎患者可提高营养指标水平,缩短体温恢复时间、腹痛消失时间、机械通气时间、ICU停留时间和住院时间,以及降低护理不良事件发生率,效果优于常规EN护理。
Objective:To observe application effects of standardized enteral nutrition(EN)nursing in patients with severe acute pancreatitis in ICU.Methods:122 patients with severe acute pancreatitis admitted to the ICU were selected as the research objects,and were divided into observation group and control group according to the random number table method,61 cases in each.The control group received routine EN nursing,while the observation group was given the standardized EN nursing.The levels of nutritional indicators(upper arm muscle circumference,triceps skinfold thickness,serum albumin and prealbumin),the clinically relevant indicators(temperature recovery time,abdominal pain disappearance time,mechanical ventilation time,ICU stay time and hospitalization time)and the incidence of nursing adverse events were compared between the two groups.Results:After the nursing,upper arm muscle circumference,triceps skinfold thickness,serum albumin level and prealbumin level in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The body temperature recovery time,the abdominal pain disappearance time,the mechanical ventilation time,the ICU stay time and the hospitalization time in the observation group were all shorter than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidences of nursing adverse events such as tube detachment,tube blockage,aspiration pneumonia and reflux aspiration in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The standardized EN nursing for the ICU patients with severe acute pancreatitis can improve the levels of nutritional indicators,shorten the body temperature recovery time,the abdominal pain disappearance time,the mechanical ventilation time,the ICU stay time and the hospitalization time,and reduce the incidence of adverse nursing events.Moreover,it is superior to routine EN nursing.
作者
董文亚
DONG Wenya(Department of Critical Care Medicine of Queshan County People’s Hospital,Zhumadian 463200 Henan,China)
出处
《中国民康医学》
2022年第9期173-175,共3页
Medical Journal of Chinese People’s Health
关键词
规范化营养护理
肠内营养
重症急性胰腺炎
护理不良事件
Standardized nutritional nursing
Enteral nutrition
Severe acute pancreatitis
Nursing adverse event
