摘要
目的:对危重症患者给予早期肠内营养并实施蒙医护理,通过客观评价指标,分析蒙医护理对危重患者早期肠内营养并发症及营养不良状况的影响。方法:采用连续定点法,选取内蒙古国际蒙医医院急诊与重症医学科2022年1月-2023年6月收治的100例给予早期肠内营养的危重症患者作为研究对象,将患者以随机数字表法分为对照组和观察组,每组50例。对照组给予危重症常规护理,观察组在危重症常规护理基础上给予蒙医护理,连续治疗12天。比较两组患者治疗第6天、第12天营养指标:血红蛋白、血清白蛋白和血清总蛋白、血糖、水电解质变化及相关并发症,如腹胀、胃残余量、腹泻、便秘、胃肠道出血等情况。结果:观察组对比对照组营养指标。血红蛋白、血清白蛋白和血清总蛋白降低,相关并发症,如腹胀、胃残余量、腹泻、便秘减少,血糖、水电解质基本平衡,实验组有效率较对照组明显提高86.0%比80.0%(P<0.05)。结论:危重症患者早期给予肠内营养后实施重症常规护理基础上,采用蒙医辩证施护,增加腹部诺哈拉呼疗法、盐疗法、尼如哈疗法等,疗效优危单纯重症常规护理,可有效恢改善危重症患者营养状态和肠内喂养不耐受等情况,减少并发症的出现,不影响血糖和电解质平衡,值得在临床推广应用。
Objective:To analyze the effects of early enteral nutrition and Mongolian nursing on early enteral nutrition complications and malnutrition in critically ill patients through objective evaluation indicators.Methods:100 critically ill patients who received early enteral nutrition in the Department of Emergency and Critical Care Medicine of Inner Mongolia International Mongolian Medicine Hospital from January 2022 to June 2023 were selected as the study objects by continuous fixed-point method.The patients were divided into control group and observation group by random number table method,with 50 cases in each group.The control group was given routine nursing for critical cases,and the observation group was given Mongolian medicine nursing on the basis of routine nursing for critical cases for 12 consecutive days.Nutritional indexes of hemoglobin,serum albumin and total serum protein,blood glucose,water and electrolyte changes and related complications such as abdominal distension,residual stomach volume,diarrhea,constipation and gastrointestinal bleeding were compared between the two groups on day 6 and day 12 of treatment.Results:Compared with the control group,the nutritional indexes of the observation group were reduced:hemoglobin,serum albumin and serum total protein;related complications were reduced:abdominal distension,gastric residual volume,diarrhea and constipation;blood sugar,water and electrolyte balance was reduced;the effective rate of the experimental group was significantly increased by 86.0%compared with 80.0%(R 0.05).Conclusion:On the basis of intensive routine nursing after early enteral nutrition for critically ill patients,Mongolian medicine adopts dialectical care,adding abdominal nohala call therapy,salt therapy,Niluha therapy,etc.,which has excellent curative effect and can effectively improve the nutritional status and intestinal feeding intolerance of critically ill patients,reduce the occurrence of complications,and do not affect the balance of blood sugar and electrolytes.It is worthy o
作者
赵彤
黄树青
ZHAO Tong;HUANG Shuqing(Inner Mongolia International Mongolian Medicine Hospital,Hohhot 010010,China)
出处
《中国民族医药杂志》
2024年第5期74-78,共5页
Journal of Medicine and Pharmacy of Chinese Minorities
基金
2022年度自治区卫生健康科技计划项目:蒙医护理在重症患者早期肠内营养支持中的应用研究(No:202201074)。
关键词
蒙医护理
诺哈拉呼疗法
危重症
肠内营养
Mongolian medicine nursing
Nohala call therapy
Critical illness
Enteral nutrition
