基于目标开展优质早期肠内营养干预对严重创伤患者的影响
Analysis of goal-based high-quality early enteral nutrition intervention on severe trauma patients
王成铭 1李娟 1周正 1朱晓玲 1蒋玲玲 1葛笑笑 1高君瑜 1刘年香1
作者信息
- 1. 210029 南京市,南京医科大学第一附属医院急诊与危重症医学科
- 折叠
摘要
目的 观察基于目标开展优质早期肠内营养干预对严重创伤患者的影响效果.方法 选取2022年1月至2024年2月就治的严重创伤患者80例为观察样本,以随机数字表法将80例严重创伤患者分为试验组和对照组,每组40例.对照组遵常规营养支持法施护,试验组基于目标开展优质早期肠内营养护理,对2组干预后的各观察指标进行比较.结果 试验组肠内营养启动时间早于对照组,3 d热量达标率、7 d热量达标率高于对照组,差异有统计学意义(P＜0.05)肠内营养相关并发症发生率、APACHE Ⅱ评分低于对照组,病情好转率高于对照组,差异均有统计学意义(P＜0.05).结论 面向严重创伤患者基于目标开展优质早期肠内营养干预,利于其肠内营养的早期启动、快速推进、安全实施,可改善患者病情严重度、提升病情好转率.
Abstract
Objective To observe the effect of goal-based high-quality early enteral nutrition intervention on severe trauma patients.Methods Eighty severe trauma patients treated in our hospital from January 2022 to February 2024 were recruited,and they were randomized 1:1 to receive conventional nutritional support(control group)or goal-based high-quality early enteral nutrition intervention(experimental group).The observation indexes after the intervention of the two groups were assessed.Results Compared with those of the control group,the start time of enteral nutrition in the experimental group was significantly earlier,the rates of 3-day and 7-day achieving total calories were significantly higher(P＜0.05),the complications rate related enteral nutrition and the Acute Physiology and Chronic Health Evaluation Ⅱ(APACHE Ⅱ)score were significantly lower(P＜0.05),and the recovery rate was significantly higher(P＜0.05).Conclusion Goal-based high-quality early enteral nutrition intervention for severe trauma patients is conducive to the early initiation,rapid advancement and safe implementation of enteral nutrition,and improvement of the patient's condition and promotion of the recovery rate.
关键词
目标护理/优质护理/早期肠内营养/严重创伤Key words
goal-based care/quality care/early enteral nutrition/severe trauma引用本文复制引用
出版年
2024
NETL
NSTL
万方数据