摘要
目的分析重症颅脑损伤患者实施集束化护理预防肠内营养不耐受的效果。方法以我院2023年12月~2025年2月期间收录的患者为探究的对象,共计81名患者,采用随机分配的方式分为对照组、实验组,对照组40名患者,实验组41名患者,对照组实行常规护理,实验组在常规护理上实施集束化护理策略,对比分析两组不耐受症状严重程度、肠内营养不耐受发生概率、营养指标。结果实验组患者症状总评分以及症状所持续的时间均低于对照组(P<0.05);实验组患者发生呕吐、腹泻等肠内营养不耐受的概率较低(P<0.05);实验组Hb、PAB等营养指标在干预之后显著的高于对照组(P<0.05)。结论实施集束化护理策略能够显著降低重症颅脑损伤患者发生肠内营养不耐受的概率,减轻患者的相关临床症状,同时有效提升患者的营养状况,具备在临床上推广和应用的价值。
Objective To analyze the effect of implementing bundled care in preventing enteral nutrition intolerance in patients with severe traumatic brain injury.Method Patients admitted to our hospital from December 2023 to February 2025 were selected for this study,totaling 81 patients.They were randomly divided into a control group and an experimental group,with 40 patients in the control group and 41 in the experimental group.The control group received routine care,while the experimental group received bundled care in addition to routine care.The severity of intolerance symptoms,the incidence of enteral nutrition intolerance,and nutritional indicators were compared between the two groups.Result The total symptom scores and duration of symptoms in the experimental group were lower than those in the control group(P<0.05);the probability of experiencing vomiting,diarrhea,and other enteral nutrition intolerance symptoms in the experimental group was lower(P<0.05);nutritional indicators such as Hb and PAB in the experimental group were significantly higher than those in the control group after the intervention(P<0.05).Conclusion Implementing a bundled care strategy can significantly reduce the likelihood of enteral nutrition intolerance in patients with severe traumatic brain injury,alleviate related clinical symptoms,and effectively improve patients'nutritional status,demonstrating value for clinical promotion and application.
作者
李明
Li Ming(The First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang 830000)
出处
《医学研究前沿》
2026年第2期182-184,共3页
Frontiers of Medical Research
关键词
重症颅脑损伤
集束化护理
肠内营养不耐受
severe traumatic brain injury
bundled care
enteral nutrition intolerance
