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目的探讨早期肠内营养护理对改善重症胰腺炎合并感染患者营养状况的临床效果。方法 76例重症胰腺炎合并感染患者,随机分为观察组和对照组,各38例。对照组给予常规肠外营养护理,观察组患者在常规治疗基础上给予早期肠内营养护理,分析两种护理的临床疗效。结果治疗后观察组白蛋白(ALB)、血红蛋白(Hb)和C反应蛋白(CRP)分别为(39.53±10.06)g/L、(108.56±22.03)g/L、(29.25±22.94)mg/L,优于对照组的(34.26±6.59)g/L、(95.36±22.52)g/L、(59.53±18.33)mg/L;观察组住院时间及急性生理与慢性健康评分表(APACHE-II)评分优于对照组;观察组感染痊愈率显著高于对照组,并发症发生率显著低于对照组;差异均有统计学意义(P<0.05)。结论早期肠内营养护理可有效缓解患者的感染状况,改善患者营养状况,护理疗效显著,临床值得推广。
Objective To investigate the clinical effect of early enteral nutrition nursing on improving nutritional status in patients with severe pancreatitis complicated with infection. Methods A total of 76 patients with severe pancreatitis complicated with infection were randomly divided into observation group and control group, with 38 cases in each group. The control group was given routine parenteral nutrition nursing. Patients in the observation group were given early enteral nutrition care on the basis of routine treatment, and the clinical efficacy of the two kinds of nursing were analyzed. Results After treatment, the albumin, hemoglobin and CRP in the observation group were (39.53 ± 10.06) g / L, (108.56 ± 22.03) g / L and (29.25 ± 22.94) mg / L (34.26 ± 6.59) g / L, (95.36 ± 22.52) g / L and (59.53 ± 18.33) mg / L respectively in the control group. The length of hospital stay and acute physiology and chronic health score (APACHE-II) The score was better than the control group. The cure rate of the observation group was significantly higher than that of the control group, and the complication rate was significantly lower than that of the control group (all P <0.05). Conclusion Early enteral nutrition nursing can effectively alleviate the patient’s infection, improve the nutritional status of patients, the nursing effect is significant, the clinical worthy of promotion.