临床护理路径干预神经外科重症患者肠内营养支持的临床效果

Clinical Effect of Clinical Nursing Pathway Intervention on Enteral Nutrition Support in Severe Neurosurgery Patients

目的:探讨临床护理路径干预神经外科重症患者肠内营养支持的临床效果。方法:选取2020年5月-2022年5月城阳区人民医院神经外科收治的行肠内营养支持治疗的重症患者60例为观察对象,根据随机数字表法分为观察组与对照组,各30例。观察组给予临床护理路径干预,对照组给予常规护理干预,比较两组患者营养状况[血清蛋白(PA)、血红蛋白(HGB)和体重指数(BMI)]、T淋巴细胞亚群水平(CD3^(+)、CD4^(+)、CD8^(+)、CD4^(+)/CD8^(+))、不良反应发生率。结果:干预后,两组患者PA、HGB、BMI水平均升高,观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组患者CD3^(+)、CD4^(+)、CD4^(+)/CD8^(+)水平均升高,CD8^(+)水平降低,观察组CD3^(+)、CD4^(+)、CD4^(+)/CD8^(+)水平高于对照组,CD8^(+)水平低于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论:临床护理路径干预神经外科重症患者肠内营养支持的临床效果,可明显改善患者营养水平及T淋巴细胞亚群水平,降低不良反应发生率。

Objective:To investigate the clinical effect of clinical nursing pathway intervention on enteral nutrition support in severe neurosurgery patients.Methods:Sixty severe patients who received enteral nutrition support treatment in department of neurosurgery of Chengyang District People's Hospital from May 2020 to May 2022 were selected as the observation objects.According to random number table method,they were divided into observation group and control group,30 cases in each group.The observation group was given clinical nursing pathway intervention,and the control group was given routine nursing intervention.Nutritional status[serum protein(PA),hemoglobin(HGB)and body mass index(BMI)],T lymphocyte subsets(CD3^(+),CD4^(+),CD8^(+),CD4^(+)/CD8^(+))and incidence of adverse reactions were compared between the two groups.Results:After intervention,the levels of PA,HGB and BMI in 2 groups were increased,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).After intervention,the levels of CD3^(+),CD4^(+)and CD4^(+)/CD8^(+)in 2 groups were increased,while the levels of CD8^(+)were decreased.The levels of CD3^(+),CD4^(+)and CD4^(+)/CD8^(+)in the observation group were higher than those in the control group,while the levels of CD8^(+)were lower,with statistical significance(P<0.05).The incidence of adverse reactions in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion:The clinical effect of clinical nursing pathway intervention of enteral nutrition support in severe neurosurgery patients can significantly improve the nutritional level and T lymphocyte subsets of patients,and reduce the incidence of adverse reactions.