摘要
目的观察肠内营养护理干预对重症胰腺炎患者的临床疗效以及对其心理状态的影响。方法选取2019年1月至2023年1月深圳市人民医院ICU收治的70例重症胰腺炎患者为研究对象,经电脑盲选法均等划分为采用肠外营养护理干预的参照组与采用肠内营养护理干预的干预组,两组各35例,比较分析两组护理效果。结果护理后,两组免疫球蛋白G(IgG)、免疫球蛋白M(IgM)、免疫球蛋白A(IgA)、白细胞介素-10(IL-10)水平均较护理前升高,且干预组高于参照组,差异有统计学意义(P<0.05);护理后,两组白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平均较护理前降低,且干预组低于参照组,差异有统计学意义(P<0.05)。干预组尿淀粉酶与血淀粉酶恢复时间低于参照组,差异有统计学意义(P<0.05)。护理后,两组焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均较护理前降低,且干预组低于参照组,差异有统计学意义(P<0.05)。结论对ICU重症胰腺炎患者开展肠内营养护理干预能够帮助患者改善免疫球蛋白与炎性因子水平,缩短尿淀粉酶与血淀粉酶恢复时间,改善其心理压力,值得临床应用。
Objective To observe the clinical efficacy of enteral nutrition nursing intervention on patients with severe pancreatitis and its impact on their psychological state.Methods 70 patients with severe pancreatitis admitted to the ICU of Shenzhen People’s Hospital from January 2019 to January 2023 were selected as the research subjects.They were equally divided into a reference group,which received parenteral nutrition nursing intervention,and an intervention group,which received enteral nutrition nursing intervention,with 35 cases in each group.The nursing effects of the two groups were compared and analyzed.Results After nursing,the levels of immunoglobulin G(IgG),immunoglobulin M(IgM),immunoglobulin A(IgA),and interleukin-10(IL-10)in both groups increased compared to before nursing,and the intervention group was higher than the reference group,with a statistically significant difference(P<0.05).After nursing,the levels of interleukin-6(IL-6)and tumor necrosis factor-alpha(TNF-α)in both groups decreased compared to before nursing,and the intervention group was lower than the reference group,with a statistically significant difference(P<0.05).The recovery time of urinary amylase and blood amylase in the intervention group was lower than that in the reference group,with a statistically significant difference(P<0.05).After nursing,the scores of the Self-Rating Anxiety Scale(SAS)and the Self-Rating Depression Scale(SDS)in both groups decreased compared to before nursing,and the intervention group was lower than the reference group,with a statistically significant difference(P<0.05).Conclusion The implementation of enteral nutrition nursing intervention for patients with severe pancreatitis in the ICU can help patients improve the levels of immunoglobulins and inflammatory factors,shorten the recovery time of urinary amylase and blood amylase,and improve their psychological stress,which is worth applying in clinical practice.
作者
王云
WANG Yun(Department of Critical Care Medicine,Shenzhen People’s Hospital,Shenzhen Guangdong 518000,China)
出处
《临床研究》
2024年第8期180-183,共4页
Clinical Research
关键词
肠内营养
重症监护室
胰腺炎
生活质量
肠外营养
免疫球蛋白
enteral nutrition
intensive care unit
pancreatitis
quality of life
parenteral nutrition
immunoglobulin
作者简介
王云,女,主管护师,本科。研究方向:重症营养方面。
