CAJ | 학술논문

目的：探讨不同营养护理方法对大面积烧伤患者的疗效。方法收集2013年1月～2014年4月我院诊断为大面积烧伤患者的患者作为研究对象，按随机号码表法分为2组，50例研究组和50例对照组，对照组分别普通经口营养护理，研究组早期采取肠外营养，后期给予肠内营养+经口营养护理。对比研究组和对照组治疗前和出院时白蛋白、总蛋白、氮平衡及总住院时间。结果（1）研究组和对照组治疗前白蛋白、总蛋白、氮平衡差异无统计学意义（P＞0.05）；研究组和对照组出院时白蛋白、总蛋白、氮平衡差异有统计学意义（P＜0.05）。（2）研究组和对照组总住院时间分别为（26.8±7.9）天、（30.4±9.4）天，差异有统计学意义（P＜0.05）。结论本次研究认为有效的营养护理能缩短大面积烧伤患者住院时间，促进蛋白质的合成，改善负氮平衡，提高机体抵抗力。
목적：탐토불동영양호리방법대대면적소상환자적료효。방법수집2013년1월～2014년4월아원진단위대면적소상환자적환자작위연구대상，안수궤호마표법분위2조，50례연구조화50례대조조，대조조분별보통경구영양호리，연구조조기채취장외영양，후기급여장내영양+경구영양호리。대비연구조화대조조치료전화출원시백단백、총단백、담평형급총주원시간。결과（1）연구조화대조조치료전백단백、총단백、담평형차이무통계학의의（P＞0.05）；연구조화대조조출원시백단백、총단백、담평형차이유통계학의의（P＜0.05）。（2）연구조화대조조총주원시간분별위（26.8±7.9）천、（30.4±9.4）천，차이유통계학의의（P＜0.05）。결론본차연구인위유효적영양호리능축단대면적소상환자주원시간，촉진단백질적합성，개선부담평형，제고궤체저항력。
Objective To investigate the effect of different nutrition nursing methods on patients with large area burn.MethodsThe patients of large area burn patients were collected from January 2013 to April 2014 in our hospital as the object of study, randomly divided into study group (50) and control group (50), control group were normal enteral nutrition nursing, research group were taken early parenteral nutrition, later period enteral nutrition and enteral nutrition nursing. Comparative study group and control group before treatment and discharge of albumin, total protein, nitrogen balance and total hospitalization time.Results (1) Study group and control group before treatment, albumin, total protein, nitrogen balance showed no statistical signiifcance (P>0.05), study group and control group at discharge, total protein, albumin nitrogen balance was statistically signiifcant (P<0.05). (2) Study group and control group total hospitalization time were (26.8±7.9) days, (30.4 ±9.4) days, difference was statistically significant (P<0.05). Conclusion It will show that reasonable nutrition can signiifcantly shorten large area burn patients hospitalization time,promote protein synthesis, and improve negative nitrogen balance as well as body resistance.