中医护理在危重症患者肠内营养支持中的疗效观察
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R248.1

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Clinical Observation on Chinese Medicine Nursing for Enteral Nutrition Support in Critically Ill Patients
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    摘要:

    目的:观察中医护理在危重症患者肠内营养支持中的临床效果。方法:将89 例危重症患者,按随机数字表法分为2 组,对照组44 例予以肠内营养联合常规护理干预,观察组45 例在对照组患者的基础上予以中医护理干预。对比2 组患者护理前后营养指标、体液和细胞免疫因子水平、健康状况、肠内营养耐受情况以及护理满意率。结果:2 组护理后营养指标较前改善,观察组护理后血红蛋白(Hb)、白蛋白(Alb)、血清总蛋白(TP) 和总淋巴细胞计数(TLC) 指标高于对照组(P<0.05)。护理后,2 组免疫指标较前改善,观察组护理后免疫球蛋白G(IgG)、免疫球蛋白A(IgA)、CD3+和CD4+/CD8+水平高于对照组(P<0.05)。2 组护理后,急性生理慢性健康状况评分系统Ⅱ(APACHEⅡ) 评分、肠内营养耐受情况较前改善,观察组护理后APACHEⅡ评分、肠内营养耐受情况和护理满意率优于对照组(P<0.05)。结论:中医护理可以有效提高肠内营养的作用效果,改善体液和细胞免疫因子水平以及健康状态,提高患者营养指标、肠内营养耐受程度和护理满意率。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Chinese medicine nursing for enteral nutrition support in critically ill patients. Methods:A total of 89 cases of critically ill patients were divided into the control group and the observation group according to the random number table method, 44 and 45 cases in each group respectively. The control group was given enteral nutrition combined with routine nursing intervention, and the observation group was additionally intervened with Chinese medicine nursing based on the treatment of the control group. Before and after nursing,nutrition indexes,levels of humoral and cellular immune factors, health status, enteral nutrition tolerance and nursing satisfaction in the two groups were compared. Results:After nursing,the nutrition indexes in the two groups were improved when compared with those before nursing;the indexes of hemoglobin(Hb),albumin(Alb),serum total protein(TP) and total lymphocyte count(TLC) in the observation group were higher than those in the control group(P<0.05). After nursing,the immune indexes in the two groups were improved when compared with those before nursing; the levels of immunoglobulin G(IgG), immunoglobulin A(IgA), CD3 + and CD4 +/CD8 + in the observation group were higher than those in the control group(P<0.05). After nursing, Acute Physiology and Chronic Health Evaluation(APACHE II) scores and enteral nutrition tolerance were improved when compared with those before nursing; APACHE II score, enteral nutrition tolerance and nursing satisfaction in the observation group were better than those in the control group(P<0.05). Conclusion: Chinese medicine nursing can effectively enhance the effect of enteral nutrition, nutrition indexes, enteral nutrition tolerance and nursing satisfaction, as well as improve the levels of humoral and cellular immune factors and health status.

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张芬芬,黄小琴,丁海蛟.中医护理在危重症患者肠内营养支持中的疗效观察[J].新中医,2021,53(6):166-169

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  • 在线发布日期: 2021-03-25
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