探讨肠内营养护理在重型颅脑损伤患者中的应用效果.docVIP

精品论文 参考文献 探讨肠内营养护理在重型颅脑损伤患者中的应用效果 (江苏省南通大学附属医院 江苏南通 226000) 　　【摘要】 目的：探讨肠内营养护理在重型颅脑损伤患者中的应用效果。方法：本次试验对象为2014年3月～2016年1月我院就诊的100例重型颅脑损伤患者，按照中心随机系统法将患者分为肠外组和肠内组。肠外组给予肠外营养护理；肠内组则采用肠内营养护理。评价：（1）护理满意率；（2）护理前后营养指标血清总蛋白、血清白蛋白、血红蛋白以及机体免疫指标IgG、IgM、IgA；（3）胃肠道并发症率。结果：（1）肠内组患者护理满意率显著比肠外组高，P＜0.05；（2）肠内组护理后血清总蛋白、血清白蛋白、血红蛋白、IgG、IgM、IgA显著比肠外组好，P＜0.05；（3）肠内组胃肠道并发症率显著比肠外组低，P＜0.05。结论：肠内营养护理在重型颅脑损伤患者中的应用效果确切，可有效改善患者营养状况，提升其免疫力，可减少并发症发生，值得推广。 　　【关键词】 肠内营养护理;重型颅脑损伤患者;应用效果 　　【中图分类号】R473.74 【文献标识码】B 【文章编号】1007-8231（2016）10-0177-02 　　To explore the effect of enteral nutrition nursing in patients with severe craniocerebral injury 　　【Abstract】Objective To investigate the effect of enteral nutrition in patients with severe brain injury. Methods The subjects were 100 patients with severe brain injury in our hospital from March 2014 -2016 to January. The patients were divided into the intestinal group and the intestinal group according to the central random system. Parenteral nutrition group was given parenteral nutrition; enteral nutrition was used in the group. Evaluation: (1) nursing satisfaction rate; (2) nutrition indicators of serum total protein, serum albumin, hemoglobin and body immune index IgG, IgM, IgA; (3) the rate of gastrointestinal complications. Results (1) enteral group patients nursing satisfaction rate significantly than parenteral group, P lt; 0.05; (2) enteral group of nursing after the serum total protein, serum albumin, hemoglobin, IgG, IgM, IgA significantly than parenteral group of good, P lt; 0.05; (3) enteral group of gastrointestinal complications rate significantly than parenteral group, P lt; 0.05). Conclusion Enteral nutrition in patients with severe brain injury in the application effect is exact, can effectively improve the nutritional status of patients, enhance their immunity, can reduce the incidence of complications, it is worth promoting. 　　【Key words】Enteral nutrition nursing; Severe brain injury patients;Applicati