杨帆 钟锦华 侯杨清

[摘要] 目的 探討中医护理干预在针对危重症患者肠内营养支持方面的作用与价值。方法 方便选取该院2017年1月—2018年1月期间收治的危重症患者共计50例，其中根据中医护理干预前后划分为对照组与观察组，各25例，其中针对对照组患者采取常规基础护理，针对观察组患者则在常规护理基础上采取针对性较强的中医护理。并分别对比两组患者并发症发病率以及各项生理指标。 结果 通过研究对比发现，观察组患者并发症发病率（4%）低于对照组患者并发症发病率（28%），差异有统计学意义（χ2=6.122，P<0.05）。观察组患者血红蛋白（125.8±13.1）g/L、血清总蛋白（66.9±5.8）g/L、血清前白蛋白（288.4±49.3）mg/L等各项指标均优于对照组患者（113.3±14.3）g/L、（61.1±4.2）g/L、（193.6±47.2）mg/L，且差异有统计学意义（t=3.038、2.837、8.254，P<0.05）。 结论 中医护理干预在治疗危重症患者，实现肠内营养支持方面具有良好的应用效果，可以有效降低患者并发症发病率，同时提升各项生理指标，对于促进患者康复具有良好的作用，建议在临床中应用并推广。

[关键词] 中医护理;危重症;肠内营养支持

[中图分类号] R248          [文献标识码] A          [文章编号] 1674-0742（2019）11（a）-0128-03

Application of TCM Nursing Intervention in Enteral Nutrition Support for Critically Ill Patients

YANG Fan， ZHONG Jin-hua， HOU Yang-qing

Department of Critical Care Medicine， People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine， Fuzhou， Fujian Province， 350004 China

[Abstract] Objective To explore the role and value of traditional Chinese medicine nursing intervention in the treatment of enteral nutrition in critically ill patients. Methods Convenient selected a total of 50 critically ill patients admitted to our hospital from January 2017 to January 2018 were enrolled. Among them， 25 were in the control group and the observation group according to the Chinese medicine nursing intervention， and the routine basic nursing was adopted for the control group. For the observation group， patients with strong traditional Chinese medicine were taken on the basis of routine nursing. The incidence of complications and various physiological indicators were compared between the two groups. Results Through study and comparison， the incidence of complications in the observation group（4%） was significantly lower than that in the control group （28%），the difference was statistically significant （χ2=6.122， P<0.05）. In the observation group， hemoglobin （125.8±13.1） g/L， serum total protein （66.9±5.8） g/L， and serum prealbumin （288.4±49.3） mg/L were superior to the control group （113.3±14.3） g/L，（61.1±4.2） g/L，（193.6±47.2） mg/L， and the difference was statistically significant （t=3.038， 2.837， 8.254， P<0.05）. Conclusion TCM nursing intervention has a good application effect in the treatment of critically ill patients and achieve enteral nutrition support， which can effectively reduce patient concurrency incidence of disease， while improving various physiological indicators， has a good effect on promoting the rehabilitation of patients， it is recommended to be applied and promoted in the clinic.

[Key words] Chinese medicine nursing; Critical illness; Enteral nutrition support

肠内营养是指通过胃肠道提供营养物质或者通过其他营养素来支持人体各项生命体征的支持方式，也是现代医疗服务活动中治疗重症患者常用的辅助治疗方式之一[1]。在肠内营养支持时，不但需要了解患者的生理特征与病症特点，同时还需要做好生理吻合度的匹配，这样才能够体现支持的作用与价值，否则则会影响到患者的正常康复[2]。方便选取该院2017年1月—2018年1月收治的25例危重症患者，采取中医护理干预后取得了良好的护理效果，患者舒适度得到了显著提升，各项生理参数与指标均得到了优化，同时并发症的发病率也得到了抑制，现报道如下。

1  资料与方法

1.1  一般资料

该次研究方便选取了院内收治的危重症患者共计50例，根据中医护理干预前后划分为对照组与观察组，各25例，其主要纳入标准：① GCS评分高于3分且不低于5分。……