前馈控制理论指导下的集束化护理对重症胰腺炎鼻肠管置管患者临床结局的影响OA
The impact of bundle nursing guided by feedforward control theory on the clinical outcomes of patients with severe pancreatitis undergoing nasointestinal tube insertion
目的 探讨前馈控制理论指导下的集束化护理对重症胰腺炎鼻肠管置管患者临床结局的影响.方法 选取2023 年 7 月至 2025 年 9 月在厦门大学附属中山医院行鼻肠管置管的 100 例重症胰腺炎患者,采用随机数字表法分为 2 组,观察期共脱落 4 例,最终 96 例患者完成研究(各 48 例).所有患者根据病情及置管条件选用盲插或内镜下置入鼻肠管.对照组接受常规护理,观察组接受前馈控制理论指导下的集束化护理.比较 2 组患者置管安全性(导管堵塞、非计划性拔管、喂养不耐受及吸入性肺炎并发症总发生率)、营养状况[血清白蛋白(ALB)、总蛋白(TP)、前白蛋白(PA)、视黄醇结合蛋白(RBP)]及炎症反应[C 反应蛋白(CRP)、白介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、降钙素原(PCT)].结果 观察组导管堵塞、非计划性拔管、喂养不耐受及吸入性肺炎并发症总发生率均低于对照组(P 均<0.05);置管后 5 d 及 10 d,观察组 ALB、TP、PA、RBP 水平均高于对照组(P 均<0.05);CRP、IL-6、TNF-α、PCT 水平均低于对照组(P 均<0.05).结论 前馈控制理论指导下的集束化护理能有效改善重症胰腺炎患者的早期营养状况,减轻全身炎症反应,并降低鼻肠管置管相关并发症的发生率,具有一定临床应用价值.
Objective To study the effect of bundle nursing guided by feedforward control theory on the clinical outcomes of patients with severe pancreatitis undergoing nasointestinal tube insertion.Methods A total of 100 patients with severe pancreatitis who underwent nasointestinal tube insertion at Zhongshan Hospital Xiamen University from July 2023 to September 2025 were selected and randomly divided into two groups using a random number table method.During the observation period,a total of 4 patients dropped out,and finally 96 patients completed the study(48 patients in each group).All patients underwent blind or endoscopic nasointestinal tube insertion according to the condition and catheterization conditions.The control group received routine nursing care,while the observation group received bundle nursing guided by feedforward control theory.The safety of catheterization(the total incidence of complications,including tube blockage,unplanned extubation,feeding intolerance,and aspiration pneumonia),nutritional status(serum albumin[ALB],total protein[TP],prealbumin[PA],and retinol-binding protein[RBP]),and inflammatory response(C-reactive protein[CRP],interleukin-6[IL-6],tumor necrosis factor-α[TNF-α],and procalcitonin[PCT])of the two groups were compared.Results The total incidence of complications such as tube blockage,unplanned extubation,feeding intolerance,and aspiration pneumonia in the observation group was lower than that in the control group(P<0.05).At 5 days and 10 days after tube insertion,the levels of ALB,TP,PA and RBP in the observation group were higher than those in the control group(P<0.05),and the levels of CRP,IL-6,TNF-α and PCT in the observation group were lower than those in the control group(P<0.05).Conclusion Bundle nursing guided by feedforward control theory can effectively improve the early nutritional status of patients with severe pancreatitis,reduce systemic inflammatory responses,and decrease the incidence of nasointestinal tube insertion-related complications,which has certain clinical application value.
许雅芸;赖珏蓉;黄香瑜
厦门大学附属中山医院,福建 厦门,361004厦门大学附属中山医院,福建 厦门,361004厦门大学附属中山医院,福建 厦门,361004
医药卫生
重症胰腺炎肠内营养前馈控制集束化护理炎症反应
severe pancreatitisenteral nutritionfeedforward controlbundle nursinginflammatory response
《中西医结合护理（中英文）》 2026 (5)
114-118,5
评论