周丽娟　　林展球　　区月媚

[摘要] 目的 研究在腸内营养液治疗危重症患者期间应用舒适护理对改善治疗效果的临床价值。 方法 随机抽取2019年1月至2020年5月我院就诊的100例危重症患者进行研究，均使用肠内营养液治疗。采用随机数字表法分为对照组和观察组，每组各50例。对照组给予常规护理，观察组给予舒适护理。比较两组营养指标、肠内营养并发症总发生率及住院指标。 结果 观察组清蛋白、血红蛋白、血清总蛋白及淋巴细胞数量均明显高于对照组，差异有统计学意义（P<0.05）。观察组肠内营养并发症总发生率为8.00%，明显低于对照组的18.00%，差异有统计学意义（P<0.05）。观察组住院时间、症状消失时间、首次进食时间均明显短于对照组，差异有统计学意义（P<0.05）。 结论 对危重症患者采用肠内营养液治疗过程中实施舒适护理能显著提升营养指标和住院指标，降低肠内并发症的发生，对治疗效果的提升具有促进作用，值得临床推广和使用。

[关键词] 肠内营养液;危重症;舒适护理;治疗效果;并发症

[中图分类号] R473.73          [文献标识码] B          [文章编号] 1673-9701（2021）09-0170-03

The value of comfort care for improving treatment effect during the treatment of critically ill patients with enteral nutrient solution

ZHOU Lijuan   LIN Zhanqiu   OU Yuemei

Department of Critical Care Medicine， Yunfu Hospital of Traditional Chinese Medicine in Guangdong Province， Yunfu 527300， China

[Abstract] Objective To study the clinical value of comfort care for improving treatment effect during the treatment of critically ill patients with enteral nutrient solution. Methods A total of 100 critically ill patients admitted in our hospital from January 2019 to May 2020 were randomly selected as the research objects， who were treated with enteral nutrition solution. They were divided into the control group and the observation group， with 50 cases in each group by a random number table grouping method. The control group was given conventional care， and the observation group was given comfort care. The nutritional indicators， the incidence of enteral nutrition complications， and hospitalization indicators were compared between the two groups. Results The albumin， hemoglobin， total serum protein  and lymphocyte count in the observation group were all lower than those in the control group， with significant differences（P<0.05）. The total complication rate of enteral nutrition solution in the observation group was 8.00%， which was lower than that of 18.00% in the control group， and the difference was statistically significant（P<0.05）. The hospital stay， symptom disappearance time， the time of first eating in the observation group were all shorter than those in the control group， and the differences were statistically significant（P<0.05）. Conclusion The comfort care in critically ill patients during the treatment with enteral nutrient solution can significantly improve the nutritional indicators and hospitalization indicators， reduce the incidence of intestinal complications， and promote the improvement of the treatment effect. It is worthy of promotion and use in clinic.

[Key words] Enteral nutrient solution; Critically ill; Comfort care; Therapeutic effect; Complications

危重症患者生命体征不稳定，在器官衰竭、代谢紊乱和抵抗力下降等情况下，严重影响对营养物质的吸收，使得机体处于负氮平衡，导致治疗效果低下[1-3]。现阶段，临床主要采用肠内营养液进行治疗，补充身体所需矿物质、维生素及微量元素等，从而减少代谢应激反应，提升胃肠道功能蠕动。同时，还能有效促进胃黏膜功能恢复，可有效预防感染的发生[4]。但是在肠内营养液治疗过程中，护理工作不到位将并发腹泻、恶心、呕吐及误吸等疾病的发生，预后效果较差。由此可见，实施有效护理干预显得尤为重要。周育芬[5]研究发现，在治疗过程中运用舒适护理，对预防并发症发生，提升营养指标效果显著。为此，本研究选取100例危重症患者进行研究，分析舒适护理的临床价值，现报道如下。

1 资料与方法