EEN干预下辅以优质护理措施对消化道穿孔患者术后炎症状态的改善效果

Effect of EEN Intervention Supplemented by High-quality Nursing Measures on Postoperative Inflammation of Patients with Gastrointestinal Perforation

目的分析在消化道穿孔患者术后应用早期肠内营养(EEN)干预辅以优质护理措施的效果。方法随机选取2019年1月—2020年1月期间在该院医治的60例消化道穿孔手术患者,随机设为两个组别,给予对照组(30例)全肠外营养和常规护理,给予实验组(30例)EEN干预辅以优质护理。观察两组患者术后营养状态、炎症状态、术后恢复和并发症情况。结果实验组术后第3天、第7天的总蛋白、血清白蛋白、前白蛋白水平均高于对照组,差异有统计学意义(P<0.05);实验组术后第3天白细胞介素-6水平(659.41±98.47)ng/L低于对照组(745.36±112.41)ng/L,差异有统计学意义(t=3.150,P<0.05);实验组术后第3天超敏C反应蛋白水平(132.23±34.26)mg/L低于对照组(186.45±39.47)mg/L,差异有统计学意义(t=5.682,P<0.05);实验组术后排气时间、住院时间低于对照组,差异有统计学意义(P<0.05)。对比两组患者并发症总发生率,实验组明显更低差异有统计学意义(P<0.05)。结论EEN干预辅以优质护理措施能够降低消化道穿孔患者术后炎症水平,改善营养状态,减少并发症的出现,促进术后康复。

Objective To analyze the effect of early enteral nutrition(EEN)intervention supplemented with high-quality nursing measures in patients with gastrointestinal perforation after surgery.Methods The 60 cases of gastrointestinal perforation patients who were randomly selected in the hospital from January 2019 to January 2020 were randomLy assigned to two groups.The control group(30 cases)were given total parenteral nutrition and routine care,and the experimental group(30 cases)EEN intervention supplemented by high-quality nursing.Observed the postoperative nutritional status,inflammatory status,postoperative recovery and complications of the two groups of patients.Results The total protein,serum albumin,and prealbumin levels of the experimental group on the 3rd and 7th day after operation were higher than those of the control group,and the difference was statistically significant(P<0.05);The level of prime-6(659.41±98.47)ng/L was lower than that of the control group(745.36±112.41)ng/L,the difference was statistically significant(t=3.150,P<0.05);the experimental group was hypersensitivity C on the 3rd day after surgery The level of reactive protein(132.23±34.26)mg/L was lower than that of the control group(186.45±39.47)mg/L,the difference was statistically significant(t=5.682,P<0.05);the postoperative exhaust time and hospital stay in the experimental group were lower than the control group,the difference was statistically significant(P<0.05).Comparing the total incidence of complications between the two groups,the experimental group was significantly lower with statistical difference(P<0.05).Conclusion EEN intervention supplemented with high-quality nursing measures can reduce the postoperative inflammation level of patients with gastrointestinal perforation,improve the nutritional status,reduce the occurrence of complications,and promote postoperative recovery.