临床普外科电子杂志 ›› 2025, Vol. 13 ›› Issue (4): 91-.

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急性胰腺炎患者早期营养支持护理干预的效果研究

  

  1. 南京市江宁医院 消化内科,江苏 南京 210000
  • 出版日期:2025-10-01 发布日期:2026-01-30

Research on the effect of early nutritional support nursing intervention in patients with acute pancreatitis

  1. Gastroenterology Department of Jiangning Hospital in Nanjing, Jiangsu Nanjing 210000, China
  • Online:2025-10-01 Published:2026-01-30

摘要:

目的 探讨急性胰腺炎患者应用早期营养支持护理干预的效果。方法 选取 2024 年 1 月至 12 月在南京市江宁医院诊疗的 90 例急性胰腺炎患者纳入研究,依照计算机随机分为对照组与观察组各 45 例。对照组予以早期肠外营养支持,观察组施行早期肠内营养支持。观察患者营养状况指标变化、炎症控制效果及胃肠功能恢复时间。结果 干预前,两组患者的白蛋白、前白蛋白、总蛋白水平,以及 C 反应蛋白、白细胞计数、白介素 -6 水平比较,无显著差异(P > 0.05)。干预后,两组患者的白蛋白、前白蛋白、总蛋白水平较干预前均有提升,且观察组更高;两组患者的 C 反应蛋白、白细胞计数、白介素 6 水平较干预前均有降低,且观察组低于对照组,差异均有显著性(P < 0.05)。观察组患者的首次排气、排便时间,以及肠鸣音恢复时长短于对照组,腹痛缓解时长缩短,差异均有显著性(P < 0.001)。结论 在急性胰腺炎的早期治疗阶段,开展肠内营养护理干预有助于改善患者营养状态,抑制炎症反应,促进胃肠功能恢复。

关键词: 急性胰腺炎, 营养支持, 护理

Abstract:

Objective To explore the effect of early nutritional support nursing intervention in patients with acute pancreatitis. Method 90 patients with acute pancreatitis treated in Nanjing Jiangning hospital from January to December 2024 were selected and randomly divided into control group and observation group, 45 cases in each group. The control group was given early parenteral nutrition support, while the observation group was given early enteral nutrition support. The changes of nutritional status, the effect of inflammation control and the recovery time of gastrointestinal function were observed. Result Before intervention, there was no significant difference in the levels of albumin, prealbumin, total protein, C reactive protein, white blood cell count and interleukin-6 between the two groups (P > 0.05). After the intervention, the levels of albumin, prealbumin and total protein in the two groups were increased compared with those before the intervention, and the observation group was higher; The levels of C-reactive protein, white blood cell count and interleukin-6 in the two groups were lower than those before the intervention, and the observation group was lower than that in the control group, with significant differences (P < 0.05). The first exhaust and defecation time, as well as the recovery time of bowel sounds in the observation group were shorter than those in the control group, and the duration of abdominal pain relief in the observation group was shorter, with significant differences (P < 0.001). Conclusion In the early treatment stage of acute pancreatitis, carrying out enteral nutrition nursing intervention is helpful to improve the nutritional status of patients, inhibit infl ammatory responses, and promote the recovery of gastrointestinal function.

Key words: Acute pancreatitis, Nutrition support, Nursing