螺旋空肠管在出血坏死性胰腺炎患者中的应用观察

发布时间：2018-03-03 00:28

本文选题：螺旋空肠管　切入点：出血坏死性胰腺炎　出处：《护士进修杂志》2016年22期 　论文类型：期刊论文

【摘要】：目的探讨不同的鼻饲营养途径对出血坏死性胰腺炎患者疾病发展状况的影响。方法选择162例连续禁食、胃肠减压48h以上,且肠蠕动恢复、腹痛已缓解的出血坏死性胰腺炎患者按入院时间先后分成两组,对照组行鼻胃管鼻饲(70例),观察组鼻空肠管鼻饲(92例)。记录两组患者的并发症发生情况、淀粉酶恢复正常时间、白蛋白恢复正常时间、C反应蛋白恢复正常时间以及住院时间。结果观察组患者在出现感染、消化道出血、腹泻、腹腔脓肿、多脏器功能不全及死亡例数均显著少于对照组,差异有统计学意义(P0.05)。观察组患者的淀粉酶恢复正常时间、白蛋白恢复正常时间、C反应蛋白恢复正常时间、住院时间均显著短于对照组,差异有统计学意义(P0.05)。结论对出血坏死性胰腺炎患者护理中使用螺旋空肠管进行肠内营养优势明显,并发症显著减少,恢复时间短,护理难度低,值得临床推广。
[Abstract]:Objective to investigate the effect of nasal feeding in different ways to the development status of patients with hemorrhage necrotizing pancreatitis. Methods 162 cases of continuous fasting, gastrointestinal decompression of more than 48h, and the recovery of intestinal peristalsis, abdominal pain relief has been bleeding in patients with necrotizing pancreatitis according to the admission time were divided into two groups, the control group underwent nasal feeding (70 cases). The nasal jejunal tube feeding in observation group (92 cases). Recorded in two groups of patients with complications, amylase recovery time, recovery time of albumin, C reaction protein recovery time and hospitalization time. Results in the observation group were infection, gastrointestinal bleeding, diarrhea, abdominal abscess, multiple organ dysfunction and the number of deaths were significantly less than the control group, the difference was statistically significant (P0.05). The observation group of patients with amylase recovery time, recovery time of albumin, C reaction protein recovery time to live Hospital time was significantly shorter than that in the control group, the difference was statistically significant (P0.05). Conclusion the use of spiral jejunal tube in nursing of patients with hemorrhagic necrotizing pancreatitis has obvious advantages of enteral nutrition, with significant reduction in complications, short recovery time and low nursing difficulty, which is worthy of clinical promotion.

【作者单位】：哈尔滨医科大学附属第一医院肿瘤腔镜外科;
【分类号】：R473.6

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