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蔡芳芳.螺旋型鼻空肠管在急性重症胰腺炎早期肠内营养中的应用及其护理效果[J].中国现代医生,2021,59(23):181-184
螺旋型鼻空肠管在急性重症胰腺炎早期肠内营养中的应用及其护理效果
Application of spiral nasojejunal tube in early enteral nutrition of acute severe pancreatitis and its nursing effect
  
DOI:
中文关键词:  急性重症胰腺炎  螺旋型鼻空肠管  早期肠内营养  集束化护理
英文关键词:Acute severe pancreatitis  Spiral nasojejunal tube  Early enteral nutrition  Clustering nursing
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作者单位
蔡芳芳 江西省景德镇市第三人民医院门诊口腔科江西景德镇 333000 
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中文摘要:
      目的 探讨螺旋型鼻空肠管在急性重症胰腺炎早期肠内营养中的应用及其护理效果。方法 选取2019年1月至2020年6月我院收治的非手术治疗的急性重症胰腺炎患者68例,依据随机分组法将其分为研究组与常规组,每组各34例。两组患者均通过螺旋型鼻空肠管进行早期肠内营养支持,研究组行集束化护理干预,常规组行常规护理干预,对两组患者的并发症发生情况、机体指标、住院时间以及护理前后生活质量进行观察。结果 研究组的并发症总发生率为5.88%,显著低于常规组的26.47%,差异有统计学意义(P<0.05)。研究组患者白蛋白水平显著高于常规组,差异有统计学意义(P<0.05)。研究组患者血淀粉酶水平显著低于常规组,住院时间短于常规组,差异有统计学意义(P<0.05)。两组患者护理前生活质量评分比较,差异无统计学意义(P>0.05),经护理干预后,研究组的生活质量评分均显著低于常规组,差异有统计学意义(P<0.05)。结论 螺旋型鼻空肠管能够有效为患者的治疗提供良好的条件,同时配合行之有效的护理干预,能够及时发现患者在治疗期间的并发症,护理干预确保患者的恢复效果,值得进行推广应用。
英文摘要:
      Objective To explore the application and nursing effect of spiral nasojejunal tube in early enteral nutrition of acute severe pancreatitis.Methods A total of 68 patients with acute severe pancreatitis who were treated in our hospital from January 2019 to June 2020 and received non-surgical treatment were selected and divided into study group and routine group,with 34 cases in each group according to the randomization method.Both groups of patients were given early enteral nutrition support through spiral nasojejunal tubes.The study group was given clustered nursing intervention,and the routine group was given routine nursing intervention.The complications,physical indicators,length of hospital stay,and quality of life before and after nursing were observed in patients.Results The total incidence rate of complications in the study group was 5.88%,which was significantly lower than that of 26.47% in the routine group,with significant difference (P<0.05).The albumin level in the study group was significantly higher than that in the routine group,with significant difference (P<0.05).The blood amylase level was significantly lower than that in the routine group and the length of hospital stay was shorter than that in the routine group,with significant difference (P<0.05).There was no significant difference in the quality of life scores between the two groups of patients before nursing (P>0.05).After nursing intervention,the quality of life scores in the study group were significantly lower than those in the routine group,and the difference was statistically significant (P<0.05).Conclusion The spiral nasojejunal tube can effectively provide good conditions for the treatment of patients.Combined with effective nursing intervention,this method can timely detect the complications of patients during treatment,and nursing intervention ensures the recovery of patients.This method is worthy of promotion and application.
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