精准护理在脑梗死患者肠内营养支持治疗中的临床价值

Clinical value of precision nursing in enteral nutrition support for patients with cerebral infarction

目的探讨精准护理在脑梗死患者肠内营养支持治疗中的临床价值。方法选取2017年11月~2018年11月四川大学华西医院收治的98例脑梗死患者作为研究对象。按随机数字表法分为对照组和观察组,每组各49例。对照组采用常规护理,观察组采用精准护理,即院内1个月精准护理,出院后6个月的精准延续护理。出院后对两组均进行6个月随访。比较两组患者的营养指标、并发症发生率、治疗有效率及出院后1、3、6个月死亡率。结果两组患者护理前营养水平比较差异无统计学意义(P>0.05),护理后观察组患者的血清白蛋白、三头肌皮褶厚度和非瘫痪侧上臂肱三头肌肌围水平均高于对照组(P<0.05);护理后观察组并发症发生率明显低于对照组(P<0.05);护理后观察组治疗有效率显著优于对照组(P<0.05);两组患者出院后1个月死亡率比较差异无统计学意义(P>0.05),观察组患者3个月及6个月死亡率显著低于对照组(P<0.05)。结论精准护理用于脑梗死患者肠内营养支持治疗中能改善患者营养状态,降低并发症发生率及死亡率,获得较高的治疗有效率,可在临床推广应用。

Objective To explore the clinical value of precision nursing in enteral nutrition support treatment for patients with cerebral infarction.Methods 98 patients with cerebral infarction treated from November 2017 to November 2018 were selected as the research subjects.According to the random number table method,98 patients were divided into the control group and the observation group,with 49 cases in each group.The control group received routine medical care,and the observation group received precision medical care.After 1 months of precious nursing in hospital and 6 months of continue nursing out of hospital,the nursing effect was evaluated.After the hospitalization period,the two groups were followed up for 6 months.The nutritional indicators and complications of the two groups were compared.Rate,patient mortality,and treatment efficiency after care were observed.Results In this study,there was no statistically significant difference between the two groups of patients before nursing(P>0.05).The serum albumin,triceps skin fold thickness,and upper arm triceps muscle surrounding levels were higher in the observation group after nursing.In the control group(P<0.05),the incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).There was no statistically significant mortality at 6 months after care in the two groups(P>0.05).The mortality of patients at 3 months and 6 months was significantly lower than that of the control group(P<0.05),and the treatment efficiency of the observation group was significantly better than that of the control group(P<0.05).Conclusion Precision nursing used in enteral nutrition support treatment for patients with cerebral infarction can improve the nutritional status of patients,reduce the incidence of complications,and achieve a higher treatment efficiency.