Nursing study of segmented enteral nutrition combined with fistuloclysis to improve the nutritional status of patients with severe intestinal fistula
10.16151/j.1007-810x.2024.03.006
- VernacularTitle:分段式肠内营养联合消化液回输改善重症肠瘘病人营养状况的护理研究
- Author:
Min-Yi ZHOU
1
;
Min QING
;
Hong-Lin YAO
;
Ze-Hua ZHAO
;
Shan-Shan YU
Author Information
1. 东部战区总医院全军普通外科研究所,江苏南京 210002
- Keywords:
Fistuloclysis,Segmented enteral nutrition;
Intensive care;
Intestinal fistula;
Multiple fistulas
- From:
Parenteral & Enteral Nutrition
2024;31(3):162-166
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the effect of segmented enteral nutrition combined with fistuloclysis on improving the nutritional status of patients with severe intestinal fistula,to explore the impact of nutritional support methods on the recovery of severe intestinal fistula,and to provide nursing experience for patients with severe intestinal fistula. Methods:96 patients with severe intestinal fistulas complicated by multiple fistulas admitted to the intensive care unit of Research Institute of General Surgery from February 2023 to August 2023 were selected. According to the nutritional support method,they were divided into intervention group (n=47) and control group (n=49). The intervention group used segmented enteral nutrition combined with fistuloclysis,and the control group only used segmented enteral nutrition. After 14 days of enteral nutrition intervention,the nutritional status of the two groups was compared,such as BMI,serum albumin levels,total protein levels,and hemoglobin levels;inflammation levels,such as serum C-reactive protein (CRP) levels,interleukin-6 (IL-6),enteral Incidence of nutritional intolerance symptoms,prognosis such as total ICU length of stay,total hospitalization costs,etc. Results:After 14 days intervention,the serum total protein and hemoglobin of the intervention group were (71.55±7.00) g/L and (106.64±15.59) g/L,which were significantly higher than those of the control group (P<0.05). The BMI of the intervention group was (21.83±4.44)kg/m2,and BMI in the control group was (19.64±3.16)kg/m2. The difference was statistically significant (P<0.05). The CRP level in the intervention group was (35.71±27.77) mg/L,which was significantly lower than that in the control group[(56.78±51.22) mg/L,P<0.05]. The IL-6 level in the intervention group was (30.20±24.47) pg/mL,which was also significantly lower than that in the control group[(76.18±54.36)pg/mL,P<0.05]. Conclusion:Segmented enteral nutrition combined with fistuloclysis is beneficial to improving patients' nutritional status,reducing inflammatory reactions,reducing the incidence of enteral nutrition intolerance,and reducing the length of total hospitalization.
