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营养指导联合多学科协作诊疗模式应用于急性胰腺炎患者的效果

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目的:探讨营养指导联合多学科协作诊疗(MDT)模式应用于急性胰腺炎(AP)患者的效果.方法:以 2021 年 7 月—2022 年 7 月福建省立医院收治的 120 例AP患者作为研究对象,采用随机数字表法分为对照组和观察组,每组 60 例.对照组给予常规护理,观察组予以营养指导联合MDT模式.观察两组病情恢复情况、营养状况、生活质量、并发症发生率.结果:观察组急性生理学与慢性健康状况评价Ⅱ(APACHEⅡ)评分低于对照组,淀粉酶(AMS)复常时间、腹痛及腹胀消失时间均短于对照组,差异均有统计学意义(P<0.05).随访结束后,两组白蛋白(ALB)、前白蛋白(PA)水平均较干预前升高,且观察组高于对照组,差异均有统计学意义(P<0.05);观察组中文版健康调查简表(SF-36)评分均高于对照组,差异均有统计学意义(P<0.05).观察组并发症发生率(1.67%)低于对照组(13.33%),差异有统计学意义(P<0.05).结论:营养指导联合MDT模式应用于AP患者能改善营养状况,提高生活质量,降低并发症发生率,促进患者疾病恢复.
Effect of Nutritional Guidance Combined with Multidisciplinary Collaborative Diagnosis and Treatment Model on Patients with Acute Pancreatitis
Objective:To explore the effect of nutrition guidance combined with multidisciplinary collaborative diagnosis and treatment(MDT)model in patients with acute pancreatitis(AP).Method:A total of 120 AP patients admitted to Fujian Provincial Hospital from July 2021 to July 2022 were taken as the research objects,and were divided into the control group and the observation group by random number table method,with 60 cases in each group.The control group was given routine care,while the observation group was given nutrition guidance combined with MDT model.The recovery of illness status,nutritional status,quality of life and incidence of complications of the two groups were observed.Result:The acute physiology and chronic health evaluation Ⅱ(APACHEⅡ)score of the observation group was lower than that of the control group,and the time for amylase(AMS)to return to normal,abdominal pain and abdominal distension disappeared were shorter than those of the control group,the differences were statistically significant(P<0.05).After the follow-up,the levels of albumin(ALB)and prealbumin(PA)in both groups were higher than those before intervention,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05);the MOS item short from health survey(SF-36)in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group(1.67%)was lower than that in the control group(13.33%),the difference was statistically significant(P<0.05).Conclusion:Nutrition guidance combined with MDT model in patients with AP can improve the nutritional status,improve the quality of life,reduce the incidence of complications and promote the recovery of patients.

Nutrition guidanceMultidisciplinary collaborative diagnosis and treatment modelAcute pancreatitisQuality of life

张伟彬、罗锦霞、颜晶晶

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福建省立医院急诊科 福建 福州 350001

营养指导 多学科协作诊疗模式 急性胰腺炎 生活质量

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(2)
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