[1]周敏艺,庆 敏,姚红林,等.分段式肠内营养联合消化液回输改善重症肠瘘病人营养状况的护理研究[J].肠外与肠内营养杂志,2024,(03):162-166.[doi:DOI : 10.16151/j.1007-810x.2024.03.006]
　ZHOU Min-yi,QING Min,YAO Hong-lin,et al.Nursing study of segmented enteral nutrition combined with fistuloclysisto improve the nutritional status of patients with severe intestinal fistula[J].PARENTERAL & ENTERAL NUTRITION,2024,(03):162-166.[doi:DOI : 10.16151/j.1007-810x.2024.03.006]
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分段式肠内营养联合消化液回输改善重症肠瘘病人营养状况的护理研究(/HTML)
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《肠外与肠内营养》杂志[ISSN:1007-810X/CN:32-1477/R]

卷:
期数:
2024年03期
页码:
162-166
栏目:
论著
出版日期:
2024-06-10

文章信息/Info

Title:
Nursing study of segmented enteral nutrition combined with fistuloclysisto improve the nutritional status of patients with severe intestinal fistula
作者:
周敏艺; 庆 敏; 姚红林; 赵泽华; 喻珊珊
东部战区总医院全军普通外科研究所，江苏南京 210002
Author(s):
ZHOU Min-yi;  QING Min;  YAO Hong-lin;  ZHAO Ze-hua;  YU Shan-shan
Research Institute of General Surgery, Jingling Hospital, Nanjing 210002, Jiangsu China
关键词:
消化液回输 ; 分段式肠内营养 ; 重症监护 ; 肠瘘 ; 多个瘘
Keywords:
Fistuloclysis;  Segmented enteral nutrition;  Intensive care;  Intestinal fistula;  Multiple fistulas
分类号:
R459.3
DOI:
DOI : 10.16151/j.1007-810x.2024.03.006
文献标志码:
A
摘要:
目的：研究分段式肠内营养联合消化液回输对于改善重症肠瘘病人的营养状况效果，探讨营养支持方式对重症肠瘘预后的影响，为重症肠瘘病人提供护理参考。 方法：选择2023年2月 ~ 2023年8月东部战区总医院普通外科重症监护病房收治的96例并发多个瘘的重症肠瘘病人。根据营养支持方式分为干预组(n = 47)和对照组(n = 49)，干预组采用分段式肠内营养联合消化液回输，对照组采用分段式肠内营养。在肠内营养干预后14 d收集指标比较两组差异，营养状况指标包括BMI、血清白蛋白水平、总蛋白水平、血红蛋白水平，炎症指标包括血清C反应蛋白（CRP）、白介素-6（IL-6），肠内营养不耐受症状发生率，以及ICU总住院时间、总住院费用等预后相关指标。 结果：干预后14 d干预组血清总蛋白为(71.55± 7.00) g/L、血红蛋白为(106.64 ± 15.59) g/L，显著高于对照组（P < 0.05）；干预组BMI为(21.83 ± 4.44)kg/m2，对照组为(19.64 ± 3.16)kg/m2，差异有统计学意义（P < 0.05）；炎症指标方面，干预组CRP水平为(35.71 ± 27.77) mg/L，对照组为(56.78 ± 51.22) mg/L，差异有统计学意义(P < 0.05)；干预组IL-6水平为(30.20 ± 24.47) pg/mL，对照组为(76.18 ± 54.36)pg/mL，差异有统计学意义（P < 0.05）。 结论：分段式肠内营养联合消化液回输，有利于改善病人的营养状况、减轻炎症反应、降低肠内营养不耐受发生率、减少总住院时间。
Abstract:
Objective: To study the effect of segmented enteral nutrition combined with fistuloclysis onimproving the nutritional status of patients with severe intestinal fistula, to explore the impact of nutritional supportmethods on the recovery of severe intestinal fistula, and to provide nursing experience for patients with severe intestinalfistula. Methods: 96 patients with severe intestinal fistulas complicated by multiple fistulas admitted to the intensivecare unit of Research Institute of General Surgery from February 2023 to August 2023 were selected. According to thenutritional support method, they were divided into intervention group (n = 47) and control group (n = 49). Theintervention group used segmented enteral nutrition combined with fistuloclysis, and the control group only usedsegmented enteral nutrition. After 14 days of enteral nutrition intervention, the nutritional status of the two groups wascompared, such as BMI, serum albumin levels, total protein levels, and hemoglobin levels; inflammation levels, such asserum C-reactive protein (CRP) levels, interleukin-6 (IL-6), enteral Incidence of nutritional intolerance symptoms,prognosis such as total ICU length of stay, total hospitalization costs, etc. Results: After 14 days intervention, theserum total protein and hemoglobin of the intervention group were (71.55 ± 7.00) g/L and (106.64 ± 15.59) g/L, whichwere significantly higher than those of the control group (P < 0.05). The BMI of the intervention group was (21.83 ±4.44)kg/m2, and BMI in the control group was (19.64 ± 3.16)kg/m2. The difference was statistically significant (P <0.05). The CRP level in the intervention group was (35.71 ± 27.77) mg/L, which was significantly lower than that in thecontrol group [(56.78 ± 51.22) mg/L, P < 0.05]. The IL-6 level in the intervention group was (30.20 ± 24.47) pg/mL,which was also significantly lower than that in the control group [(76.18 ± 54.36)pg/mL, P < 0.05]. Conclusion:Segmented enteral nutrition combined with fistuloclysis is beneficial to improving patients’ nutritional status, reducinginflammatory reactions, reducing the incidence of enteral nutrition intolerance, and reducing the length of totalhospitalization.

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备注/Memo

备注/Memo:
作者简介 ：周敏艺，护师，主要从事普通外科危重症临床护理和危重症病人营养护理。E-mail:393630277@qq.com共同第一作者：庆 敏，护师，主要从事普通外科危重症临床护理和危重症病人营养护理。E-mail:qm_8108@163.com通讯作者 ：喻珊珊，E-mail:1067647780@qq.com
更新日期/Last Update: 1900-01-01