蔡芳芳

[關键词] 急性重症胰腺炎;螺旋型鼻空肠管;早期肠内营养;集束化护理

[中图分类号] R473.5          [文献标识码] B          [文章编号] 1673-9701（2021）23-0181-04

Application of spiral nasojejunal tube in early enteral nutrition of acute severe pancreatitis and its nursing effect

CAI Fangfang

Department of Outpatient Dental Clinic， the Third People′s Hospital of Jingdezhen City in Jiangxi Province， Jingdezhen   333000， China

[Abstract] Objective To explore the application and nursing effect of spiral nasojejunal tube in early enteral nutrition of acute severe pancreatitis. Methods A total of 68 patients with acute severe pancreatitis who were treated in our hospital from January 2019 to June 2020 and received non-surgical treatment were selected and divided into study group and routine group， with 34 cases in each group according to the randomization method. Both groups of patients were given early enteral nutrition support through spiral nasojejunal tubes. The study group was given clustered nursing intervention， and the routine group was given routine nursing intervention. The complications， physical indicators， length of hospital stay， and quality of life before and after nursing were observed in patients. Results The total incidence rate of complications in the study group was 5.88%， which was significantly lower than that of 26.47% in the routine group，with significant difference（P<0.05）. The albumin level in the study group was significantly higher than that in the routine group，with significant difference（P<0.05）. The blood amylase level was significantly lower than that in the routine group and the length of hospital stay was shorter than that in the routine group，with significant difference（P<0.05）. There was no significant difference in the quality of life scores between the two groups of patients before nursing（P>0.05）. After nursing intervention， the quality of life scores in the study group were significantly lower than those in the routine group， and the difference was statistically significant （P<0.05）. Conclusion The spiral nasojejunal tube can effectively provide good conditions for the treatment of patients. Combined with effective nursing intervention，this method can timely detect the complications of patients during treatment，and nursing intervention ensures the recovery of patients. This method is worthy of promotion and application.

[Key words] Acute severe pancreatitis; Spiral nasojejunal tube; Early enteral nutrition; Clustering nursing

急性重症胰腺炎是一种急性且全身消耗性的重度病症，该病症起病较急且并发症的发生率较高，导致其具有病情的复杂性与较高的死亡性。在急性重症胰腺炎的早期，胰腺炎症会释放多种胰酶，使得患者内分泌与血流动力学发生改变，机体长期处于高代谢的状态中，使得患者的消化吸收功能受到严重阻碍，产生营养素吸收与摄入不足的情况[1]。营养支持是当前帮助急性重症胰腺炎患者度过急性期的主要手段，能够有效改善机体代谢状态，维持消化道的功能与结构完整，从而使生化指标得以较快速恢复，同时又能够保障患者的营养摄入[2]。但长期肠外营养还存在部分导管感染与肝功能损伤的风险，长期进食也可能导致肠黏膜屏障功能减弱，因此需要对患者进行有效的护理干预[3]。本研究将探讨螺旋型鼻空肠管在急性重症胰腺炎早期肠内营养中的应用及其护理效果，现报道如下。

1 资料与方法

1.1 一般资料

选取2019年1月至2020年6月我院收治的非手术治疗的急性重症胰腺炎患者68例，依据随机分组法将其分为研究组与常规组，每组各34例。研究组男22例，女12例，年龄24～73岁，平均（48.24±2.11）岁，发病时间2～32 h，平均（16.78±3.15）h;常规组男24例，女10例，年龄25～72岁，平均（48.38±2.67）岁，发病时间2～35 h，平均（17.22±3.42）h。病因主要包括酗酒、高脂饮食、暴饮暴食，其中有胆道疾病史16例，均采取非手术治疗方式，主要通过肠胃减压、肠内营养注入等方式帮助患者进行生长抑素抑制胰腺炎分泌。……