摘要
目的通过评估颌面外科重症患者在肠外营养治疗下不同依从性的疗效,探讨依从性对患者预后的影响。方法采用问卷调查的方式,评估2021年8月至2022年6月在天津市口腔医院颌面外科治疗的35例重症患者对肠外营养治疗的依从性。检测患者术前、术后1、3、7 d的C反应蛋白(C-reactive protein,CRP)、淋巴细胞总数(lymphocyte count,LYM)、血红蛋白(hemoglobin,HB)、白蛋白(serum albumin,ALB)、氯离子(Cl^(-))、钾离子(K^(+))、钠离子(Na^(+))及营养风险评估得分(scored patient-generated subjective global assessment,PG-SGA)及住院天数、营养治疗费用等指标,以观察不同依从性患者的治疗效果。结果两组患者在术前的各项化验指标差异无统计学意义(P>0.05)。术后7 d钾离子(K^(+))水平高的高低与各组的依从性高低呈正相关;CRP水平低于依从性差组,差异有统计学意义(P<0.05)。其他生化指标的升高趋势也是依从性好组优于依从性差组。且依从性好可以减少营养治疗的相关费用。结论患者对营养治疗的依从性好,表现出更好的临床恢复效果,且可有效减少相关治疗费用,有效地缩短患者住院时间。
Objective To evaluate the effects of different compliances of critically ill patients in maxillofacial surgery under parenteral nutrition and explore the influence of compliance on the prognosis of patients.Methods A questionnaire survey was conducted to investigate and analyze 35 critically ill patients’compliance in maxillofacial surgery with gastrointestinal nutrition therapy.These subjects were admitted to Tianjin Stomatological Hospital from August 2021 to June 2022.To observe the therapeutic effects,C-reactive protein(CRP),the lymphocyte count(LYM),hemoglobin(HB),serum albumin(ALB),chloride ion(Cl^(-)),potassium(K^(+)),sodium ion(Na^(+)),scored patient-generated subjective global assessment(PG-SGA)hospitalization days and nutritional treatment cost were recorded before and after operation.Results There was no significant difference between the two groups in preoperative laboratory indexes(P>0.05).Seven days after operation,the level of potassium ion(K^(+))was positively correlated with the compliance of each group.The level of CRP was significantly lower than that of the poor compliance group,and the difference was statistically significant(P<0.05).The rising trend of other biochemical indexes of the good compliance group showed better than the poor compliance group.And good compliance resulted in lower nutritional treatment costs.Conclusion Patients with good compliance showed better clinical recovery effects and lower nutritional treatment costs and shorten the hospitalization time effectively.
作者
邹琛
周萱
徐红
ZOU Chen;ZHOU Xuan;XU Hong(Department of Nutrition,Tianjin Stomatological Hospital,Tianjin 300041,China;College of Sports and Health,Tianjin University of Sport,Tianjin 301617,China;Department of Nutrition,Tianjin Rehabilitation and Nursing Center,Tianjin 300191,China)
出处
《继续医学教育》
2022年第11期149-152,共4页
Continuing Medical Education
基金
天津市口腔功能重建重点实验室面上项目(2021KLMS12)。
关键词
颌面外科
重症患者
肠外营养治疗方式
依从性
营养风险评估
疗效
maxillofacial surgery
critically ill patients
parenteral nutrition therapy
compliance
nutritional risk assessment
the therapeutic effects
