Objective:To explore the early application and nursing methods of nasal jejunal nutrition tube in acute severe pancreatitis, and evaluate its nursing effect.Methods:82 patients with acute severe pancreatitis admitted to the Department of Gastroenterology at the First Medical Centre of the Chinese PLA General Hospital from June 2020 to October 2022 were selected as the research subjects.They were divided into an observation group (comprehensive nursing intervention) and a control group (routine nursing), with 41 patients in each group. The nursing effects of the two groups were compared.Results:The serum albumin (ALB) levels of the observation group patients after nursing were (36.14 ± 4.67) g/L > (31.48 ± 5.09) g/L, t=4.320, and the prealbumin (PA) levels were (221.89 ± 11.08) mg/L > (192.07 ± 13.57) mg/L, t=10.889, which were higher than those of the control group (P<0.05). The acute physiology and chronic health score (APACHE-Ⅱ) of the observation group patients after nursing was (13.37±2.95) points less than (16.12±3.43) points, t=4.607, lower than that of the control group (P<0.05). The observation group patients′ health survey summary (SF-36) score after nursing was (68.43±5.10) points > (59.05 ±5.49) points, t=8.015, which was higher than that of the control group (P<0.05). The disappearance time of abdominal pain symptoms in the observation group was (3.04±0.86) d 78.05%, χ2=5.145, higher than the control group (P<0.05). The incidence of complications in the observation group was 4.88% <19.51%, χ2=4.554, lower than the control group (P<0.05).Conclusion:In the rehabilitation process of patients with acute severe pancreatitis, early application of nasal jejunal nutrition tubes, implementation of enteral nutrition support interventions, and comprehensive nursing interventions can better improve the patient's nutritional status, improve their quality of life, and obtain good prognosis.

目的 对将循证护理应用于消化性溃疡中所产生的临床效果进行观察.方法 选取2019年1月至2019年10月经解放军总医院第一医学中心消化科接受治疗的217例消化性溃疡患者作为研究对象,为排除时间干扰,将同期入院的患者均等分入A、B两组,其中A组108例,开展常规护理方式;B组107例,实施循证护理措施;并将两组护理质量评分与消化性溃疡患者满意度情况进行统计分析.结果 通过对本研究进行数据对比分析可以得出,B组消毒质量、急救质量、病区质量、整体质量等护理质量评分显著高于A组,B组消化性溃疡患者满意度为98.89％,明显高于A组的92.59％,且经P检验、x2检验等多种检验方式检验,两组对比差异有意义.结论 对于消化科应用循证护理临床应用效果良好,值得在消化科进行临床推广.

Objective To study and analyze the potential safety hazards and Countermeasures in clinical nursing of geriatric digestive medicine.Methods From February 2018 to December 2018,96 elderly patients of digestive medicine in our hospital were selected.48 patients who received routine analysis and treatment of nursing safety risks were classified as control group,48 patients who implemented risk management were classified as observation group,and the effect of nursing safety management was compared between the two groups.Results The final nursing quality expectation score of the observation group was significantly higher than that of the control group (95.45 ± 6.71) and vs (81.54 ± 8.41).The incidence of adverse events in the observation group was also lower than that of the control group (4.17％ vs 18.74％),the difference was statistically significant (P ＜ 0.05).Conclusion The application of risk management in clinical nursing of elderly patients with digestive medicine can effectively improve the quality of nursing and reduce the occurrence of adverse events,which has great application value.

肾上腺嗜铬细胞瘤属于儿茶酚胺症中的一类,其来源于肾上腺髓质及交感神经系统或其他的嗜铬组织,其中大多数发生于肾上腺髓质[1].由于这种瘤组织持续或间断地释放大量的儿茶酚胺,从而引起持续性或阵发性高血压和器官功能及代谢紊乱.