scholarly journals The Effect and Nursing of Indwelling Nasal Jejunal Feeding Tube for Enteral Nutrition in Acute Severe Pancreatitis

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Xiaoqin Zhu ◽  
Zhaolin Chen

Objective: To analyze the effect of enteral nutrition and nursing intervention in patients with indwelling nasojejunal tube in acute severe pancreatitis. Methods: Sixty cases of patients with indwelt nasojejunal tubes treated in our hospital from August 2019 to August 2020 were divided into routine group and observation group as research subjects. Patients in both groups received enteral nutrition, patients in the routine group received routine care, and patients in the observation group received quality care. The recovery time of gastrointestinal function, length of hospital stay, hospitalization cost, nutritional indicators and incidence of complications in the two groups were compared. Results: The recovery time of gastrointestinal function in observation group was lower than that in routine group, P<0.05; The length and cost of hospitalization in observation group were lower than those in routine group, P<0.05; The nutritional indexes in observation group were higher than those in routine group, P<0.05; The incidence of complications in observation group was lower than that in routine group, P<0.05. Conclusion: Quality nursing service improve the effect of enteral nutrition, so as to ensure that patients get sufficient nutritional support. Its effect is remarkable and it is worthy of widespread clinical application.

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Jiaying Song

Objective: To explore the curative effect of Carisolv, a minimally invasive caries removal technique and traditional mechanical caries removal treatment on children's dental caries. Methods: A total of 97 children with dental caries who were treated in the Department of Stomatology in Affiliated Hospital of Chifeng University, Chifeng from September 2017 to May 2019 were selected and recruited as the research subjects. They were divided into two groups by random number table method. Forty-nine individuals were assigned in the control group while the remaining 48 individuals in the observation group. The control group was treated with traditional mechanical caries removal method, and the observation group was treated with minimally invasive caries removal technique, i.e. Carisolv. Both groups were followed up for six months. The degree of pain, recovery time of dental function and complications after six months of treatment were observed in the two groups of children. Results: During the treatment, compared with the control group, the children in the observation group experienced lower degree of pain and had shorter recovery time of dental function. After six months of treatment, the incidence of complications in the observation group was lower than that in the control group. The difference was statistically significant (P<0.05). Conclusion: Compared with traditional mechanical caries removal method, Carisolv, a minimally invasive caries removal technique could reduce the pain of children during the treatment process, shorten the time to restore dental function, reduce the occurrence of complications, and had a better therapeutic effect in treating children’s dental caries.


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Xiaohai Zuo ◽  
Linbang Wang ◽  
Longzhu He ◽  
Pei Li ◽  
Dandan Zhou ◽  
...  

This study aimed to analyze the effect of the enhanced recovery after surgery (ERAS) protocol on the recovery of gastrointestinal function in patients with lumbar disc herniation after discectomy. A total of 179 patients with lumbar disc herniation were randomly divided into the ERAS and non-ERAS groups. The non-ERAS group received routine nursing, and the ERAS group received ERAS strategy. The two groups were compared for general recovery indicators such as postoperative hemoglobin and prealbumin, satisfaction, and length of hospital stay. Gastrointestinal function was also evaluated, such as postoperative feeding time, intestinal chirping recovery time, intestinal exhaust gas recovery time, and complications such as ileus, nausea, and vomiting. The satisfaction of patients in the ERAS group (86.15 ± 2.43) was significantly higher than that in the non-ERAS group (77.19 ± 3.32), and the difference was statistically significant ( P < 0.05 ). The average time of eating in the ERAS group was 2.27 h after surgery. In addition, the amount of eating in the ERAS group was significantly better than that in the non-ERAS group, and the difference was statistically significant. In the ERAS group, intestinal chirping recovery time recovered to normal time, and exhaust recovery time and average defecation time were significantly shorter than those in the non-ERAS group. In the ERAS group, the average amount of hemoglobin and prealbumin decreased 3 days after operation, which was significantly lower than that in the non-ERAS group. To sum up, ERAS has an evident effect on the recovery of gastrointestinal function after discectomy of disc herniation, which can promote the recovery of patients.


2019 ◽  
Vol 17 ◽  
pp. 205873921982721 ◽  
Author(s):  
Ying-Jie Chen ◽  
Yao-Dong Zhuang ◽  
Zhe Cai ◽  
You-Ni Zhang ◽  
Sen-Ren Guo

The main objective of this study was to explore the effect of enteral nutrition on serum pro-inflammatory cytokines, tumor necrosis factor, and intestinal barrier function in patients with acute severe pancreatitis. A total number of 140 patients were recruited and divided randomly into parenteral nutrition (PN) and enteral nutrition (EN) groups. They received parenteral nutrition and enteral nutrition, respectively. The levels of serum total protein (TP) and albumin (ALB) in peripheral blood were detected in the two groups. Interleukin-1β (IL-1β), interleukin-6 (IL-6), and tumor necrosis factor alpha (TNFα) in the two groups were comparatively analyzed. The levels of pro-inflammatory factors (IL-1β, IL-6, and TNFα) for both groups were same, and there was no significant difference ( P < 0.05) between the two groups before treatment. However, after treatment, a significant reduction was found in EN group which were 31.16 ± 1.95, 36.09 ± 9.44, and 29.21 ± 3.85 ng/L, respectively, showing significant lower values as compared to PN group. The levels of TP and ALB in EN group were 64.46 ± 3.77 and 27.19 ± 1.56 g/L, respectively, after treatment, showing significantly ( P < 0.05) elevated values than PN group. The incidence rates of pancreatic necrosis and pancreatic abscess in EN group were 28.57% and 11.43%, respectively, which were found to be lower significantly than PN group. Enteral nutrition is found to be more effective than parenteral nutrition in the treatment of severe acute pancreatitis, which can significantly reduce the level of pro-inflammatory factors as well as the degree of systemic inflammatory response and protect the intestinal barrier function; thus, this study is worthy for awareness and application in clinical practice.


2019 ◽  
Vol 36 (2) ◽  
Author(s):  
Hongmei Jiang ◽  
Li Wang ◽  
Jing Liang

Objective: To compare the effects of uterine compression suture versus conventional mode of treatment for the management of postpartum haemorrhage after caesarean section. Methods: This study enrolled 84 women with postpartum hemorrhage who were admitted to Binzhou People’s Hospital from August 2017 to October 2018 as the research subjects. They were divided into a control group and an observation group according to random number table method, 42 each group. The patients in the control group were treated by conventional treatment, while those in the observation group were treated by uterine compression suture. The hemorrhage, hemostasis, postoperative recovery and frequency of adverse reactions were compared between the two groups. Results: The amount of bleeding in the observation group was less than that in the control group, and the bleeding time was shorter than that in the control group; the differences had statistical significance (P<0.05). The success rate of hemostasis in the observation group was significantly higher than that in the control group, and the ineffective rate of hemostasis was significantly lower than that in the control group (P<0.05); the differences were statistically significant. The cleaning time of lochia, the recovery time of uterus and the recovery time of menstruation in the observation group were significantly shorter than that in the control group (P<0.05); the differences between the two groups were statistically significant (P<0.05). The frequency of adverse reactions in the observation group was significantly lower than that in the control group (P<0.05), and the difference was statistically significant (P<0.05). Conclusion: Uterine compression suture is effective for postpartum hemorrhage of cesarean section, which can effectively reduce postpartum hemorrhage, shorten postpartum hemorrhage time and accelerate the recovery. It is safe and worth clinical promotion. doi: https://doi.org/10.12669/pjms.36.2.1072 How to cite this:Jiang H, Wang L, Liang J. Uterine compression suture is an effective mode of treatment of postpartum haemorrhage. Pak J Med Sci. 2020;36(2):---------. doi: https://doi.org/10.12669/pjms.36.2.1072 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Medicine ◽  
2020 ◽  
Vol 99 (32) ◽  
pp. e21569
Author(s):  
Yong-bo Guo ◽  
Yan Liu ◽  
Jing Ma ◽  
Ying Cai ◽  
Xiao-ming Jiang ◽  
...  

2015 ◽  
Vol 4 (4) ◽  
pp. 17
Author(s):  
Wen Zou

<p><strong>Objective</strong><strong>:</strong> To investigate the medical treatment methods, efficacy and progress of acute severe pancreatitis. <strong>Methods:</strong><strong> </strong>60 patients of acute severe pancreatitis in our hospital was selected from October 2007 to December 2007. They were divided into two groups namely, the observation group and control group. The control group was treated by routine western medicine treatment with metronidazole, whereas the observation group received the combined treatment of conventional western medicine with paeonol, rhubarb and other Chinese medicine. After the medical treatment was found to be ineffective, the patients then underwent for surgery. Both groups were observed and compared in terms of the cure rate, death rate, symptom relief time, fever duration, recovery time of intestinal peristalsis and hospitalization. <strong>Result: </strong>The cure rate, symptom relief time and hospitalization time were significantly different between the two groups, with the observation group was significantly better than the control group (<em>p</em> &lt; 0.05). <strong>Conclusion: </strong>The usage of metronidazole, Cortex Moutan, rhubarb and other traditional Chinese medicine in the treatment of severe acute pancreatitis (SAP) revealed good clinical efficacy, which is worth to be fostered in clinical application.</p>


Critical Care ◽  
2009 ◽  
Vol 13 (Suppl 1) ◽  
pp. P140
Author(s):  
I Grigoras ◽  
D Rusu ◽  
O Chelarescu ◽  
N Andrioaie ◽  
A Nistor

2014 ◽  
Vol 155 (51) ◽  
pp. 2028-2033 ◽  
Author(s):  
Judit Hallay ◽  
Dániel Nagy ◽  
Béla Fülesdi

Malnutrition in hospitalised patients has a significant and disadvantageous impact on treatment outcome. If possible, enteral nutrition with an energy/protein-balanced nutrient should be preferred depending on the patient’s condition, type of illness and risk factors. The aim of the nutrition therapy is to increase the efficacy of treatment and shorten the length of hospital stay in order to ensure rapid rehabilitation. In the present review the authors summarize the most important clinical and practical aspects of enteral nutrition therapy. Orv. Hetil., 2014, 155(51), 2028–2033.


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