| 集束化干预在急性胰腺炎肠内营养患者中的应用效果观察 |
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| 引用本文： | 刘月. 集束化干预在急性胰腺炎肠内营养患者中的应用效果观察[J]. 首都医科大学学报, 2020, 41(3): 488-491. DOI: 10.3969/j.issn.1006-7795.2020.03.030 |
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| 作者姓名： | 刘月 |
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| 作者单位： | 江苏省南通大学附属医院临床营养科,江苏南通226001 |
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| 摘 要： | 目的 探讨集束化干预在急性胰腺炎肠内营养患者中的临床价值。方法 将2018年1月至2019年12月于南通大学附属医院就诊的82例重症急性胰腺炎患者采用数字表法随机分为观察组及对照组，每组41例。对照组给予传统的营养支持，采取常规护理。观察组接受集束化干预，留置鼻肠管，进行肠内营养治疗，内容如下：构建肠内营养管理小组，加强对小组成员肠内营养输注集束化策略的培训并考核，完善肠内营养干预措施，实施持续质量管理。结果 观察组患者肠内营养相关性合并症及住院时间均低于对照组[7.32% vs 26.83%，（21.04±5.23）d vs（25.22±6.56）d，P<0.05]。实施肠内营养20 d后，观察组白蛋白高于对照组[（38.69±2.46）g/L vs（33.16±3.07）g/L，P<0.05]。结论 对急性胰腺炎患者实施集束化干预措施，进行肠内营养支持，可有效降低肠内营养相关性合并症的发生，改善患者营养状态，缩短住院时间。
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| 关 键 词： | 集束化 干预 肠内营养 急性胰腺炎 |
| 收稿时间： | 2020-01-02 |
The effect of cluster intervention on enteral nutrition in patients with acute pancreatitis |
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| Liu Yue. The effect of cluster intervention on enteral nutrition in patients with acute pancreatitis[J]. Journal of Capital Medical University, 2020, 41(3): 488-491. DOI: 10.3969/j.issn.1006-7795.2020.03.030 |
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| Authors: | Liu Yue |
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| Affiliation: | Department of Nutrition, the Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China |
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| Abstract: | Objective To explore the clinical value of cluster intervention in patients with acute pancreatitis with enteral nutrition. Method Totally 82 cases of severe acute pancreatitis in our hospital from January 2018 to December 2019 were randomly divided into observation group and control group, 41 cases in each group. The patients in the control group were given traditional nutritional support according to the doctor's instructions,while those in the observation group received cluster intervention, naso intestinal tube, enteral nutrition treatment. The contents were as follows:build enteral nutrition management group, strengthen the training and assessment of the strategy of enteral nutrition infusion cluster of group members, improve the enteral nutrition intervention measures and implement continuous quality management. Result The incidence of complications of enteral nutrition (7.32%) and hospitalization time (21.04±5.23) days in observation group were lower than 26.83% and (25.22±6.56) days in the control group, respectively (P<0.05). The albumin of the observation group was higher than that of the control group[(38.69±2.46) g/L vs (33.16±3.07) g/L, P<0.05]. Conclusion The patients with acute pancreatitis were given intensive intervention and enteral nutrition support. It can effectively reduce the incidence of complications related to enteral nutrition, improve the nutritional status of patients, and shorten the hospitalization time. |
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| Keywords: | clustering intervention enteral nutrition acute pancreatitis |
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