轻度急性胰腺炎患者超早期进食影响因素调查
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女,硕士,学生

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江苏省重点学科建设项目(JX10617801)


Factors influencing early eating in patients with mild acute pancreatitis
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    摘要:

    目的 探讨轻度急性胰腺炎患者最佳进食时间及安全性,促进患者康复。方法 纳入195例轻度急性胰腺炎患者,按进食时间 归为超早期进食组(入院<24h经口进食)77例和早期进食组(入院24 ~72h经口进食)118例,分析影响早期经口进食的因素 及超早期进食与否对患者病情的影响。结果 超早期组与早期组BMI、入院及入院24hNEWS评分,入院及入院24h中文修订版 胃瘫主要症状指数(GCSI-R)量表总分及腹胀维度得分、早饱维度得分,入院24h液体入量比较,差异有统计学意义(P<0.05, P<0.01);入院 NEWS评分、入院早饱维度及入院24h腹胀维度得分是影响患者超早期进食的独立危险因素(OR=1.230~ 1.490)。超早期组患者病情变化严重程度显著轻于早期组,住院时间显著短于早期组(P<0.05,P<0.01),喂养不耐受发生率与 早期组比较差异无统计学意义(P>0.05)。结论 NEWS评分、GCSI-R量表评分高的患者延迟进食风险高;超早期进食不会导致 喂养不耐受,可加速患者康复。

    Abstract:

    Objective To investigate the optimal feeding time and safety in patients with mild acute pancreatitis, and to promote patients′ recovery. Methods A total of 195 patients with mild acute pancreatitis were categorized into two groups according to their feeding time: 77 patients were fed within 24 hours of admission, and the rest 118 patients were fed at 24-72 h after admission. Factors influencing early oral feeding were analyzed and the impact of feeding within 24 h of admission on patients′ condition was evaluated. Results Significant differences were found in body mass index, the National Early Warning score at admission and 24 h after admission, the total Gastroparesis Cardinal Symptom Index (GCSIR) score and dimension scores of bloating and satiety at admission and 24 h after admission, and 24 h fluid intake volume after admission in patients fed within 24 h of admission compared with those fed 24-72 h after admission (P<0.05, P<0.01). The NEWS score and dimension score of satiety of the GCSIR at admission as well as bloating score at 24 h after admission were risk factors of early feeding within 24 h of admission (OR=1.230-1.490). The severity of disease condition change and length of hospital stay was significantly milder/shorter in patients fed within 24 h of admission compared to those fed 24-72 h after admission (P<0.05, P<0.01), but there was no significant difference in feeding intolerance rate between patients fed within 24 h and those fed 24-72 h after admission (P>0.05). Conclusion Patients with higher NEWS score and GCSIR score have a higher risk of delayed feeding. Feeding performed within 24 h of admission does not lead to feeding intolerance, which can accelerate the recovery of patients.

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王旻静,方小萍,张笑倩,陈明霞.轻度急性胰腺炎患者超早期进食影响因素调查[J].护理学杂志,2019,34(4):18-20 36

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  • 收稿日期:2018-09-04
  • 最后修改日期:2018-10-15
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  • 在线发布日期: 2022-08-08