重症急性胰腺炎术后适时肠内营养支持的护理研究

A nursing reseach of timely enteral nutritional support on patients undergoing surgery for severe acute pancreatitis

目的探讨适时肠内营养支持对重症急性胰腺炎术后转归的疗效影响。方法选择48例重症急性胰腺炎患者，并随机分为两组，观察组24例实行早期适时肠内营养支持；对照组待病情稳定后实行肠内营养支持，记录两组患者的感染率、病死率、血清蛋白水平、Ⅰ级护理时间和Ⅱ级护理时间及住院时间，并对其疗效进行分析。结果观察组病死率与对照组比较差异无统计学意义（P〉0．05）。在病程的中期，观察组血清蛋白水平比对照组高（P〈0．05）；Ⅰ级护理时间和住院时间比较，观察组明显短于对照组（P〈0．01）；Ⅱ级护理两组比较差异无统计学意义（P〉0．05）。结论重症急性胰腺炎术后行早期适时肠内营养支持具有降低感染率、提高营养水平、减少Ⅰ级护理时间、缩短住院时间、降低医疗费用，减轻患者负担．

Objective To investigate the effects of timely enteral nutritional support on the outcomes of surgery for severe acute pancreatitis. Methods 48 patients with severe acute pancreatitis were randomly assigned to receive timely enteral nutritional support （ 24 patients, study group ）, or enteral nutritional support only after the patients were in stable condition （ 24 patients, control group ）. The infection rate, mortality rate, serum level of albumin, duration of grades Ⅰ and Ⅱ nursing care, and length of hospital stay were recorded; and the efficacy was analyzed. Results There was no significant difference in mortality rate between the two groups. Serum albumin level was higher in the study group than in the control group （ P 〈 0.05 ）. Duration of grade ｜ nursing care and length of hospital stay were shorter in the study group than in the control group （ P 〈 0.05 ）. Duration of grade ]I nursing care did not differ significantly between the two groups （ P 〉 0.05 ）. Conclusions Timely enteral nutritional support on patients undergoing surgery of severe acute pancreatitis can reduce infection rate, increase nutritional level, shorten duration of grade I nursing care and length of hospital stay, lower medical costs, and reduce financial burden to patient.