重症急性胰腺炎早期肠内营养的应用及临床护理要点分析.docVIP

精品论文 参考文献 重症急性胰腺炎早期肠内营养的应用及临床护理要点分析 杨静宇 　　（江苏省无锡市南京医科大学附属无锡第二医院 江苏 无锡 214002） 　　【摘 要】目的：分析研究重症急性胰腺炎早期肠内营养的应用效果及临床护理要点。方法：随机选取2013年4月-2014年5月本院接诊的100例重症急性胰腺炎患者作为研究对象，依据营养方式的不同将其随机分为对照组以及观察组，各50例；对照组患者进行临床常规治疗，观察组则在此基础上对患者进行早期肠内营养。结果：采用统计学软件对比两组患者的住院时间、并发症发生几率、死亡率，结果显示差异显著，观察组明显低于对照组（P＜0.05）；采用统计学软件对比两组患者的血清淀粉酶变化情况，结果未表现出明显差异（P＞0.05），但对比两组患者的血清C反应蛋白，结果显示差异显著，观察组明显优于对照组（P＜0.05）。结论：对重症急性胰腺炎患者采用早期肠内营养可促进患者的胃肠蠕动、降低患者的并发症发生几率、提高患者的生存几率、缩短患者的住院时间，提高患者的康复速度，故值得临床推广应用。另外进行早期肠内营养的患者，护理人员也应注意对患者进行一定程度的心理护理，注意营养液的保存、定时冲管以及常见并发症的护理。 　　【关键词】重症急性胰腺炎；早期肠内营养；护理要点 　　【中图分类号】R47 【文献标识码】B 【文章编号】1003-5028（2015）7-0109-01 　　【Abstract】Objective: to analyze the key points of early enteral nutrition for severe acute pancreatitis and the application effect of clinical nursing. Methods: 100 cases of severe acute pancreatitis patients were randomly selected in 2013 April -2014 year in May in our hospital as the research object, according to the different nutritional therapies were randomly divided into control group and observation group, 50 cases in each; the control group was treated with routine treatment, the observation group on the basis of early enteral nutrition on patients. Results: using statistical software compared two groups of patients in hospital time, incidence of complications, mortality, showed significant differences, the observation group was significantly lower than the control group (P lt; 0.05); changes of serum amylase by statistical software of the two groups were compared, the results showed no significant difference (P gt; 0.05), but serum C C-reactive protein of the two groups were compared, the results showed significant difference, the observation group was significantly better than the control group (P lt; 0.05). Conclusion: for patients with severe acute pancreatitis by early enteral nutrition can promote gastrointestinal peristalsis, the incidence of patients, improve patient survival rate, shorten the hospitalization time of patients reduce complicatio