基于营养耐受性分级护理策略的早期肠内营养支持在ICU脑出血患者中的应用OA
Application of early enteral nutrition support based on nutrition tolerance grading nursing strategy in ICU patients with cerebral hemorrhage
目的 探讨给予重症监护室(ICU)脑出血患者基于营养耐受性分级护理策略的早期肠内营养支持的临床效果.方法 选择徐州医科大学附属医院于2021 年11 月至2022 年10 月收治的100 例脑出血患者为研究对象,并进行回顾分析,将这些患者按照护理方式的不同分成2 组,每组50 例.对照组给予早期肠内营养支持,观察组给予基于营养耐受性分级护理策略的早期肠内营养支持,护理周期为患者入院后1 个月.比较2 组患者的营养状况、免疫功能、病情、并发症发生率和治疗时间.结果 干预28d后,2 组患者的血清总蛋白、血清前白蛋白和白蛋白水平,以及免疫球蛋白G、免疫球蛋白M和免疫球蛋白A水平均较入院时有所升高,且观察组均高于对照组,差异均有统计学意义(P均<0.05).干预28d后,2 组患者的格拉斯哥昏迷量表(GCS)评分均较入院时有所升高,美国国立卫生研究院卒中量表(NIHSS)评分均较入院时有所降低,且观察组的GCS评分高于对照组,NIHSS评分低于对照组,以上差异均有统计学意义(P均<0.05).观察组患者的并发症总发生率低于对照组,ICU入住时间和总住院时间均短于对照组(P均<0.05).结论 给予ICU脑出血患者基于营养耐受性分级护理策略的早期肠内营养支持,能够改善患者的营养状况和免疫功能,缓解其病情,且能缩短治疗时间,降低并发症发生率.
Objective To explore the clinical effect of early enteral nutrition support based on nutrition tolerance grading nursing strategy for patients with cerebral hemorrhage in the intensive care unit(ICU).Methods A total of 100 patients with cerebral hemorrhage admitted to The Affiliated Hospital of Xuzhou Medical University from November 2021 to October 2022 were selected as the research subjects,and a retrospective analysis was conducted.These patients were divided into two groups according to different nursing methods,with 50 cases in each group.The control group was given early enteral nutrition support,and the observation group was given early enteral nutrition support based on nutrition tolerance grading nursing strategy.The nursing period was a month from patient admission.The nutritional status,immune function,condition,incidence of complications and treatment time of the two groups were compared.Results After 28 days of intervention,the levels of serum total protein,serum prealbumin and albumin,as well as the levels of immunoglobulin G,immunoglobulin M and immunoglobulin A in both groups of patients were increased compared with those at admission.These indicators in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).After 28 days of intervention,the Glasgow Coma Scale(GCS)scores of both groups increased compared to admission,and the National Institutes of Health Stroke Scale(NIHSS)scores of both groups decreased compared to admission.The GCS score of the observation group was higher than that of the control group,while the NIHSS score of the observation group was lower than that of the control group.The above differences were statistically significant(all P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the ICU stay and total hospitalization time in the observation group were shorter than those in the control group(all P<0.05).Conclusion Early enteral nutrition support based on nutrition tolerance grading nursing strategy for ICU patients with cerebral hemorrhage can improve the nutritional status and immune function of patients,alleviate their condition,shorten the treatment time,and reduce the incidence of complications.
袁程程;方晶晶;张燕丹
徐州医科大学附属医院,江苏 徐州,221000
临床医学
脑出血重症监护室肠内营养支持分级护理营养耐受
cerebral hemorrhageintensive care unitenteral nutrition supportgrading nursingnutrition tolerance
《中西医结合护理（中英文）》 2024 (001)
21-24 / 4
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