摘要
目的探讨肠内营养 (EN)液最佳保温方法 ,减少或控制 EN液温度不当所致的并发症。方法于 1999年 2月研制了 EN液恒温器 ,于 4月应用于临床。将行 EN辅助治疗的 70例危重及胃肠手术后病人随机分为两组 (各 35例 ) ,观察组输入 EN液时用恒温器保温 ,对照组用热水袋保温 ,均连续行 EN2 0 d。结果单位时间内观察组输入EN液温度恒定不变 ,对照组输入 5～ 11h后下降 18～ 2 6℃ ;观察组未发生腹痛、腹泻等并发症 ,对照组 88.6 %发生腹痛、腹泻 ;体重及白蛋白 (Alb)值 ,观察组 EN前、EN疗程结束后比较及 EN后与对照组比较 ,差异均有极显著性意义 (均 P<0 .0 1) ,对照组 EN前、后比较 ,Alb增高 (P<0 .0 1) ,体重增加不明显。结论 EN液恒温器能保证 EN液的恒定温度 ,避免 EN并发症的发生 ,提高 EN辅助治疗效果。
Objective To explore the optimal method for the enteric nutrition (EN) fluid heat preservation and reduce or control the complications caused by temperature improper of EN fluid. Methods From April 1999, it was used in 70 patients with serious disorders or receiving gastrointestinal truct surgery who were subjected to the accessory treatment of EN therapy for 20 days. The patients were randomly divided into two groups ( n =35 each). The observation group used EN thermostat to maintain the temperature of EN fluid and control group used traditional thermostatic apparatus as heat bag to preserve the heat. Results In the observation group the temperature of EN fluid was constant, but in the control group the temperatue was reduced by 18～26 ℃. No complications such as abdominal pain and diarrhea occurred in the observation group, while in the control group 88 6% patients suffered from these complications; There was very significant difference in blood albumin and body weight before and after EN in the observation group or between the two groups (all P <0 01). Blood albumin in the control group after EN was increased as compared with that before EN ( P <0 01).Conclusion The thermostat could maintain the constant temperature of EN fluid and prevent the occurrence of complications caused by EN fluid.
出处
《护理学杂志（综合版）》
2002年第4期243-245,共3页
Journal of Nursing Science
基金
湖北省黄石市科学技术成果 (黄科鉴字 [2 0 0 1]第 2号 )
