解放军医学院学报
解放軍醫學院學報
해방군의학원학보
Academic Journal of Chinese Pla Medical School
2015年
10期
1003-1005
,共3页
益生菌%肠内营养%腹泻%肠道菌群失调%护理
益生菌%腸內營養%腹瀉%腸道菌群失調%護理
익생균%장내영양%복사%장도균군실조%호리
probiotics%enteral nutrition%diarrhea%intestinal flora imbalance%nursing care
目的：探讨益生菌在预防老年患者肠内营养相关性腹泻中的应用与护理。方法选取2014年2月-2015年1月我院消化科需肠内营养的老年患者(年龄60~82岁)62例，随机分为实验组和对照组，每组31例，行鼻饲肠内营养支持治疗，饲前无腹泻，实验组给予肠内营养剂鼻饲后加用枯草杆菌二联活菌胶囊鼻饲，对照组给单纯肠内营养剂鼻饲，并给予规范化护理。比较两组腹泻发生率、菌群失调情况、肠内营养达到目标供给量的时间。结果实验组腹泻的发生率(12.9%)明显低于对照组(12.9% vs 35.5%，χ2=4.31，P ＜0.05)；实验组肠道菌群失调的发生率明显低于对照组，实验组球菌≥40%的4例(12.9%)，对照组球菌≥40%的14例(45.2%)，差异有统计学意义(χ2=7.83，P ＜0.01)；实验组达到营养目标供给量时间(5.16±0.79) d，明显短于对照组的(9.24±1.12) d(t=16.57，P ＜0.01)；实验组营养支持治疗时间(10.62±0.74) d，明显短于对照组的(12.56±0.81) d (t=6.99，P ＜0.01)。结论益生菌在预防老年患者肠内营养相关性腹泻中疗效显著，明显降低患者的腹泻发生率，同时给予规范化护理，可提高肠内营养的成功率。
目的：探討益生菌在預防老年患者腸內營養相關性腹瀉中的應用與護理。方法選取2014年2月-2015年1月我院消化科需腸內營養的老年患者(年齡60~82歲)62例，隨機分為實驗組和對照組，每組31例，行鼻飼腸內營養支持治療，飼前無腹瀉，實驗組給予腸內營養劑鼻飼後加用枯草桿菌二聯活菌膠囊鼻飼，對照組給單純腸內營養劑鼻飼，併給予規範化護理。比較兩組腹瀉髮生率、菌群失調情況、腸內營養達到目標供給量的時間。結果實驗組腹瀉的髮生率(12.9%)明顯低于對照組(12.9% vs 35.5%，χ2=4.31，P ＜0.05)；實驗組腸道菌群失調的髮生率明顯低于對照組，實驗組毬菌≥40%的4例(12.9%)，對照組毬菌≥40%的14例(45.2%)，差異有統計學意義(χ2=7.83，P ＜0.01)；實驗組達到營養目標供給量時間(5.16±0.79) d，明顯短于對照組的(9.24±1.12) d(t=16.57，P ＜0.01)；實驗組營養支持治療時間(10.62±0.74) d，明顯短于對照組的(12.56±0.81) d (t=6.99，P ＜0.01)。結論益生菌在預防老年患者腸內營養相關性腹瀉中療效顯著，明顯降低患者的腹瀉髮生率，同時給予規範化護理，可提高腸內營養的成功率。
목적：탐토익생균재예방노년환자장내영양상관성복사중적응용여호리。방법선취2014년2월-2015년1월아원소화과수장내영양적노년환자(년령60~82세)62례，수궤분위실험조화대조조，매조31례，행비사장내영양지지치료，사전무복사，실험조급여장내영양제비사후가용고초간균이련활균효낭비사，대조조급단순장내영양제비사，병급여규범화호리。비교량조복사발생솔、균군실조정황、장내영양체도목표공급량적시간。결과실험조복사적발생솔(12.9%)명현저우대조조(12.9% vs 35.5%，χ2=4.31，P ＜0.05)；실험조장도균군실조적발생솔명현저우대조조，실험조구균≥40%적4례(12.9%)，대조조구균≥40%적14례(45.2%)，차이유통계학의의(χ2=7.83，P ＜0.01)；실험조체도영양목표공급량시간(5.16±0.79) d，명현단우대조조적(9.24±1.12) d(t=16.57，P ＜0.01)；실험조영양지지치료시간(10.62±0.74) d，명현단우대조조적(12.56±0.81) d (t=6.99，P ＜0.01)。결론익생균재예방노년환자장내영양상관성복사중료효현저，명현강저환자적복사발생솔，동시급여규범화호리，가제고장내영양적성공솔。
Objective To evaluate the application of probiotics in the prevention and care of elderly patients with enteral nutrition-related diarrhea. Methods Sixty-two elderly patients (aged from 60 to 82 years) who needed enteral nutrition were chosen in department of gastroenterology in our hospital from February 2014 to January 2015, and they were randomly divided into experimental group (n=31) and control group (n=31). They were given enteral nutrition therapy without diarrhea before feeding. The patients in experimental group were given Live Combined Bacillus Subtilis and Enterococcus Faecium Enteric-coated Capsules besides nasogastric enteral nutrition, and patients in control group were given nasogastric enteral nutrition. They were both treated and given standardized care for one week. Then the incidence of diarrhea, dysbacteriosis, the goal time of nutritional supply amount were compared. Results The incidence of diarrhea in experimental group (12.9%) was significantly lower than control group (35.5%), and the difference was statistically significant (χ 2=4.31, P < 0.05). The incidence of intestinal flora in experimental group was significantly lower than control group. The experimental group had 4 patients (12.9%) with cocoas content more than 40% of bacteria, while the control group had 14 patients (45.2%), the difference was statistically significant (χ 2=7.83, P <0.01). The treatment in experimental group shortened the goal time of nutritional supply amount and nutritional support time with significant difference [(5.16±0.79) d vs (9.42±1.12) d, t=16.57, P < 0.01; (10.62±0.74) d vs (12.56±0.81) d, t=6.99, P < 0.01]. Conclusion The efficacy of probiotics in the prevention of enteral nutrition-related diarrhea is remarkable. Probiotics significantly reduces the incidence of diarrhea, and improves the success rate of enteral nutrition with standardization of care at the same time.
