期刊目次

加入编委

期刊订阅

添加您的邮件地址以接收即将发行期刊数据:

Open Access Article

Journal of Modern Nursing Medicine. 2025; 4: (2) ; 25-27 ; DOI: 10.12208/j.jmnm.20250064.

Clinical nursing route selection of segmented enteral nutrition combined with digestive fluid reinfusion in patients with intestinal fistula
肠瘘患者分段式肠内营养联合消化液回输的临床护理路径选择

作者: 蔡丽娜 *

南京市江宁医院 江苏南京

*通讯作者: 蔡丽娜,单位:南京市江宁医院 江苏南京;

发布时间: 2025-02-25 总浏览量: 63

摘要

目的 本研究旨在探究肠瘘患者实施分段肠内营养联合消化液回输之临床护理流程,旨在优化护理路径。方法 选取2023年1月至2023年12月期间收治的60例肠瘘患者,随机分为观察组和对照组,各30例。观察组采用分段式肠内营养联合消化液回输治疗及相应护理措施,对照组则采用常规肠内营养治疗,对比内营养支持的效果,评估其对患者营养状况、并发症发生率及住院时间的影响。结果 观察组患者的营养状况明显改善,总蛋白、白蛋白及前白蛋白水平均高于对照组(P<0.05);住院时间更短(P<0.05)。结论 分段式肠内营养联合消化液回输的临床护理路径对肠瘘患者具有显著疗效,值得临床推广。

关键词: 肠瘘;分段式肠内营养;消化液回输;临床护理路径

Abstract

Objective This study was aimed at exploring the clinical nursing process of segmented enteral nutrition combined with digestive fluid transfusion in patients with intestinal fistula, aiming at optimizing the nursing path.
Methods 60 patients with intestinal fistula admitted from January 2023 to December 2023 were randomly divided into observation group and control group, with 30 cases in each group. The observation group was treated with piecewise enteral nutrition combined with digestive fluid reinfusion and corresponding nursing measures, while the control group was treated with conventional enteral nutrition. The effect of intranal nutrition support was compared, and its influence on nutritional status, incidence of complications and length of hospital stay was evaluated.
Results The nutritional status of observation group was significantly improved, and the levels of total protein, albumin and prealbumin were higher than those of control group (P < 0.05). The length of hospital stay was shorter (P < 0.05).
Conclusion   The clinical nursing path of segmented enteral nutrition combined with digestive fluid transfusion has a significant effect on patients with intestinal fistula, and is worthy of clinical promotion.

Key words: Intestinal fistula; Segmented enteral nutrition; Digestive fluid reinfusion; Clinical nursing pathway

参考文献 References

[1] 周敏艺,庆敏,姚红林,赵泽华,喻珊珊.分段式肠内营养联合消化液回输改善重症肠瘘病人营养状况的护理研究[J].肠外与肠内营养,2024,31(3):162-166.

[2] 刘书颖,张连阳,王亚玲,何海燕,刘果,黎娜.一例小肠三造口病人消化液收集回输及营养支持护理[J].肠外与肠内营养,2023,30(4):254-256.

[3] 杨颖,盛玉,卞兰峥,卢燕,章文娴.3例消化道高流量瘘患儿行消化液回输联合接力式营养支持的护理[J].中华护理杂志,2021,56(12):1838-1842.

[4] 殷伟,乔丽,刘宝晨,吴翠丽,叶向红,章黎.严重多发伤致肠空气瘘患者行分段式营养治疗的护理[J].中华急危重症护理杂志,2024,5(2):128-130.

[5] 陈桂华.1例消化道高流量瘘病人行消化液回输联合接力式营养支持疗法的护理[J].全科护理,2023,21(14): 2014-2016.

[6] 袁娅荭,狄迪,黄小鹏.风险意识护理在肠梗阻术后合并肠瘘中的护理效果及对ADL的影响[J].国际护理学杂志,2022,41(4):728-731.

[7] 沈硕,赵雪成,宗厚琴,赵泽华,李嘉琪,姚红林,叶向红.重症急性胰腺炎合并肠瘘病人早期营养支持治疗单中心回顾性研究[J].肠外与肠内营养,2023,30(5):270-273.

[8] 王少霞,王志霞,赵天云,杨婧铭.1例急性肠系膜静脉血栓病人行近远端小肠造瘘术后间断肠内营养联合消化液回输的护理[J].全科护理,2020,18(26):3574-3576.

[9] 江方正,高堃,吴楠,薛阳阳,叶向红,童智慧,李维勤.个体化运动处方在重症患者实施肠内营养期间应用的效果评价[J].中华现代护理杂志,2020,26(24):3306-3311.

[10] 殷伟,乔丽,刘宝晨,吴翠丽,叶向红,章黎.严重多发伤致肠空气瘘患者行分段式营养治疗的护理[J].中华急危重症护理杂志,2024,5(2):128-130.

引用本文

蔡丽娜, 肠瘘患者分段式肠内营养联合消化液回输的临床护理路径选择[J]. 现代护理医学杂志, 2025; 4: (2) : 25-27.