The analysis of differet nutrition support treatment and nursing in patients with severe acute pancreatitis
10.16151/j.1007-810x.2017.05.012
- VernacularTitle:重症急性胰腺炎不同营养支持方式的护理和效果
- Author:
xun Xiao XU
1
;
ting Mei YU
;
zhen Wen MEI
;
Xia YU
Author Information
1. 浙江省衢州市人民医院消化内科
- Keywords:
Acute severe pancreatitis;
Enteral nutrition;
Parenteral nutrition;
Clinical nursing
- From:
Parenteral & Enteral Nutrition
2017;24(5):306-309
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect and nursing measures of parenteral nutrition support treatment and nasal jejunum nutrition support treatment in patients with acute severe pancreatitis.Method:85 cases of acute severe pancreatitis were divided into the study group and the control group.The patients in the control group were given routine parenteral nutrition support therapy and clinical nursing.The patients in the study group were treated with nasal jejunum tube for enteral nutrition support,and the corresponding clinical nursing intervention was given during the treatment.The clinical indexes of two groups were compared and analyzed.Result:Before treatment,there were no significant difference in serum CRP,ALB,TP levels between the two groups (P ＞ 0.05).After nutritional treatment and clinical nursing,the above indexes of the two groups were improved,but the indexes of the study group improved significantly more than the control group (P ＜ 0.05).The BMI index in the study group was not significantly different compared with the control group (P ＞ 0.05).In the study group,the first time of get out of bed,mechanical ventilation time,abdominal distension remission time,sserum amylase and urine amylase recovery time were significantly lower than those of the control group (P ＜ 0.05).The incidence of complications including abdominal distension,diarrhea,nausea and vomiting,upper gastrointestinal bleeding in the study group were significantly lower than those in the control group (P ＜ 0.05).Conclusion:nasal jejunum nutrition support treatment can not only play a vital role in treatment of acute severe pancreatitis patients with malnutrition,but also protect the patient gastrointestinal tract.The individualized nursing intervention can effectively reduce the incidence of complications and ensure the successful implementation of enteral nutrition.
