神经内科重症患者早期肠内营养的护理及其临床意义分析(1)
[摘要]目的 研究并探討早期肠内营养及护理在神经内科重症患者中的临床意义。方法 选择2014年1月～2017年3月我院收治的60例重症患者，对其进行前瞻性研究，采用随机数字表法将其分为对照组和观察组，每组30例。对照组采取常规肠内营养支持，观察组采取早期肠内营养支持，在两组患者营养支持期间，对其施加护理干预。两组神经内科重症患者的营养指标、免疫功能指标、并发症发生率等。结果 治疗后，观察组的营养指标均高于对照组，差异有统计学意义(P<0.05)；治疗前，两组免疫功能指标的比较，差异无统计学意义(P>0.05)，而在治疗后，观察组的免疫功能指标均优于对照组，差异有统计学意义(P<0.05)。观察组并发症发生率显著低于对照组，差异有统计学意义(P<0.05)。结论 对神经内科重症患者开展早期肠内营养持，并施加护理干预，可有效改善患者营养状况和免疫功能，还可减少并发症，有利于改善预后。
[关键词]神经内科；危重症；早期肠内营养；护理
[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721(2018)1(c)-0180-03
Clinical significance analysis of early enteral nutrition and nursing in patients with severe neurological diseases
ZHU Xiao-wen
Department of Neurology，the First People′s Hospital of Changzhou City in Jiangsu Province，Changzhou 213000，China
[Abstract] Objective To study and explore the clinical significance of early enteral nutrition and nursing in critically ill patients of Neurology department.Methods A total of 60 critically ill patients admitted to our hospital from January 2014 to March 2017 were prospectively studied.They were divided into control group and observation group by random number table，with 30 cases in each group.The control group adopted routine enteral nutrition support，and the observation group adopted early enteral nutrition support，and the nursing intervention was applied to the two groups during the period of nutritional support.Two groups of Neurology severe patients were compared in terms of nutritional indicators，immune function indexes，and the incidence of complications.Results After treatment，the nutrition indicators of the observation group were higher than those of the control group，the difference was statistically significant (P<0.05)；before treatment，compared two groups of immune function indexes，the difference was not statistically significant (P>0.05)，but after treatment， the immune function indexes of the observation group were better than those of the control group，and the difference was statistically significant (P<0.05).The incidence of complications in the observation group was significantly lower than that of the control group，and the difference was statistically significant (P<0.05).Conclusion Early enteral nutrition support and nursing intervention can effectively improve the nutritional status and immune function of patients with severe neurological diseases，and also can reduce complications，it is propitious to improve prognosis.
[Key words]Neurology；Critical illness；Early enteral nutrition；Nursing care, http://www.100md.com(朱晓文)
[关键词]神经内科；危重症；早期肠内营养；护理
[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721(2018)1(c)-0180-03
Clinical significance analysis of early enteral nutrition and nursing in patients with severe neurological diseases
ZHU Xiao-wen
Department of Neurology，the First People′s Hospital of Changzhou City in Jiangsu Province，Changzhou 213000，China
[Abstract] Objective To study and explore the clinical significance of early enteral nutrition and nursing in critically ill patients of Neurology department.Methods A total of 60 critically ill patients admitted to our hospital from January 2014 to March 2017 were prospectively studied.They were divided into control group and observation group by random number table，with 30 cases in each group.The control group adopted routine enteral nutrition support，and the observation group adopted early enteral nutrition support，and the nursing intervention was applied to the two groups during the period of nutritional support.Two groups of Neurology severe patients were compared in terms of nutritional indicators，immune function indexes，and the incidence of complications.Results After treatment，the nutrition indicators of the observation group were higher than those of the control group，the difference was statistically significant (P<0.05)；before treatment，compared two groups of immune function indexes，the difference was not statistically significant (P>0.05)，but after treatment， the immune function indexes of the observation group were better than those of the control group，and the difference was statistically significant (P<0.05).The incidence of complications in the observation group was significantly lower than that of the control group，and the difference was statistically significant (P<0.05).Conclusion Early enteral nutrition support and nursing intervention can effectively improve the nutritional status and immune function of patients with severe neurological diseases，and also can reduce complications，it is propitious to improve prognosis.
[Key words]Neurology；Critical illness；Early enteral nutrition；Nursing care, http://www.100md.com(朱晓文)