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危重病患者早期肠内营养预防应激性溃疡的观察及护理
引用本文:金仙妹,王海燕,兰美娟,钱亚芳.危重病患者早期肠内营养预防应激性溃疡的观察及护理[J].中华护理杂志,2002,37(7):485-487.
作者姓名:金仙妹  王海燕  兰美娟  钱亚芳
作者单位:310009,杭州市,浙江大学医学院附属第二医院ICU
摘    要:目的 :验证早期肠内营养对重症患者应激性溃疡的预防作用 ,并对这类患者的护理注意事项进行探讨。方法 :对 77例进ICU的危重患者随机分成早期肠内营养组 (42例 )和延迟肠内营养组 (35例 ) ,分别对每例患者的胃液及粪便进行不同时间段的隐血情况监测 ,并对监测结果进行统计学处理。结果 :早期肠内营养组与延迟肠内营养组上消化道出血发生分别为 4 / 4 2和 15 / 35例 (P <0 .0 0 1)。结论 :早期肠内营养对危重患者应激性溃疡的发生有一定的预防作用。

关 键 词:危重病  肠营养  消化性溃疡  护理
修稿时间:2001年7月27日

Effect of early enteral nutrition on the prophylaxis of stress ulcer of critically ill patients
JIN Xianmei,WANG Haiyan,LAN Meijuan,et alThe Second Affiliated Hospital of Medical College,Zhejiang University.Effect of early enteral nutrition on the prophylaxis of stress ulcer of critically ill patients[J].Chinese Journal of Nursing,2002,37(7):485-487.
Authors:JIN Xianmei  WANG Haiyan  LAN Meijuan  The Second Affiliated Hospital of Medical College  Zhejiang University
Institution:JIN Xianmei,WANG Haiyan,LAN Meijuan,et alThe Second Affiliated Hospital of Medical College,Zhejiang University,310009
Abstract:Objective: To evaluate the effect of early enteral nutrition on the prophylaxis of stress ulcer and to explore the nursing care of critically ill patients. Method: 77 patients were randomly divided into two groups: early enteral nutrition (EEN) group (42 patients) and delayed enteral nutrition (DEN) group(35 patients). We detected the incidence of occult bleeding (OB) of gastric juice and stool in different time. Result: The incidence rates of gastrointestinal hemorrhage are 4/42 and 15/35 in the EEN and DEN respectively. Conclusion: Early enteral nutrition may have prophylactic effect on stress ulcer of critically patients.
Keywords:Critica illness  Enteral nutrition  Peptic ulcer  Nursing
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