首页|肠内营养护理结合耳穴压豆对重型颅脑损伤患者胃肠道恢复及营养状况的影响

肠内营养护理结合耳穴压豆对重型颅脑损伤患者胃肠道恢复及营养状况的影响

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目的 探讨肠内营养护理结合耳穴压豆在重型颅脑损伤患者中的应用效果.方法 回顾性分析2021年7月—2023 年9 月泰安市中医医院收治的 80 例重型颅脑损伤患者的资料,按不同护理方法将其分为对照组和观察组,每组40例.对照组采用肠内营养护理,观察组在此基础上采用耳穴压豆.对比两组患者的胃肠道恢复情况、营养状况、免疫功能、肠黏膜屏障功能及并发症发生率.结果 观察组的肛门排气时间、肠鸣音恢复时间均短于对照组,组间差异有统计学意义(P<0.05).护理后,观察组的血清白蛋白、总蛋白、前白蛋白、血红蛋白水平均高于对照组,组间差异有统计学意义(P<0.05).护理后,观察组的CD3+、CD4+、CD4+/CD8+水平均高于对照组,CD8+水平低于对照组,组间差异有统计学意义(P<0.05).护理后,观察组的血浆D-乳酸、二胺氧化酶、血浆内毒素水平均低于对照组,组间差异有统计学意义(P<0.05).观察组的并发症发生率为 5.00%,低于对照组的 20.00%,差异有统计学意义(P<0.05).结论 肠内营养护理结合耳穴压豆在重型颅脑损伤患者中的应用效果显著,可改善其营养及免疫状况,促进胃肠恢复,减少并发症.
Effects of Enteral Nutrition Nursing Combined with Auricular Acupoint Pressure on Gastrointestinal Recovery and Nutritional Status in Patients with Severe Craniocerebral Injury
Objective To investigate the effect of enteral nutrition nursing combined with auricular acupoint pressure in patients with severe craniocerebral injury.Methods The data of 80 patients with severe craniocerebral injury admitted to Tai'an Traditional Chinese Medicine Hospital from July 2021 to September 2023 were retrospectively analyzed and were divided into a control group and an observation group according to different nursing methods,with 40 cases in each group.The control group was treated with enteral nutrition nursing,and the observation group was treated with auricular acupoint pressure on this basis.The gastrointestinal recovery,nutritional status,immune function,intestinal mucosal barrier function and incidence of complications were compared between the two groups.Results The anal exhaust time and bowel sound recovery time in the observation group were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).After nursing,the levels of serum albumin,total protein,prealbumin and hemoglobin in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After nursing,the levels of CD3+,CD4+and CD4+/CD8+in the observation group were higher than those in the control group,and the level of CD8+was lower than that in the control group,and the differences between the groups were statistically significant(P<0.05).After nursing,the levels of plasma D-lactic acid,diamine oxidase and plasma endotoxin in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 5.00%,which was lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Enteral nutrition nursing combined with auricular acupoint pressure in patients with severe craniocerebral injury can improve their nutritional and immune status,promote gastrointestinal recovery and reduce complications.

Severe craniocerebral injuryEnteral nutrition nursingAuricular acupoint pressureNutritional statusImmune functionComplications

张莉

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泰安市中医医院重症医学科,山东泰安 271000

重型颅脑损伤 肠内营养护理 耳穴压豆 营养状况 免疫功能 并发症

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(5)
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