重症急性胰腺炎合并腹腔高压患者早期肠内营养耐受性的管理

发布时间：2018-03-04 06:46

本文选题：胰腺炎　切入点：急性坏死性　出处：《中华护理杂志》2016年12期 　论文类型：期刊论文

【摘要】：目的探寻重症急性胰腺炎合并腹腔高压患者行早期肠内营养期间的耐受性管理方案。方法选择入住我院外科ICU诊断为重症急性胰腺炎并伴有腹腔内高压的患者105例,根据住院时间分为实验组和对照组。两组均在入住外科ICU24~48 h内开始早期肠内营养。实验组采用自行设计的肠内营养耐受性评估和管理方案定时评估,对照组采用常规方案观察和处理。结果实验组1周后白蛋白、前白蛋白均高于对照组(P0.01),实验组达到目标喂养量的时间早于对照组(3.45 d与4.37 d),住ICU天数、机械通气时间分别与对照组比较,差异均有统计学意义(P0.01)。结论重症急性胰腺炎伴有腹腔内高压患者行早期肠内营养时,采取耐受性评估管理方案,定时主动评估与干预,可提高患者的耐受性,改善其营养指标和预后。
[Abstract]:Objective to explore the management scheme of tolerance during early enteral nutrition in patients with severe acute pancreatitis complicated with abdominal hypertension. Methods 105 patients with severe acute pancreatitis and intraperitoneal hypertension diagnosed by surgical ICU in our hospital were selected. According to the length of hospitalization, the two groups were divided into experimental group and control group. The two groups began early enteral nutrition within ICU24~48 hours of surgery. The experimental group was evaluated with self-designed enteral nutrition tolerance assessment and regular evaluation of management scheme. Results the levels of albumin and prealbumin in the experimental group were higher than those in the control group (P 0.01) after 1 week. The time to reach the target feeding rate in the experimental group was earlier than that in the control group (3.45 days and 4.37 days), and the number of days of living in ICU was higher than that in the control group. Compared with the control group, the time of mechanical ventilation was significantly different from that of the control group (P 0.01). Conclusion the patients with severe acute pancreatitis associated with intraperitoneal hypertension should take the tolerance assessment management scheme, regularly and actively evaluate and intervene in the treatment of early enteral nutrition. It can improve patient's tolerance, nutrition index and prognosis.
【作者单位】：南京军区南京总医院普通外科;
【基金】：南京军区军事医学科技创新课题(ZD32)
【分类号】：R473.5

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