摘要
总结3例难治性克罗恩病双造口术后造口高排量的全程护理管理。护理要点包括双造口高排量管理(造口高排量评估、醋酸奥曲肽联合双歧杆菌及蒙脱石散减少造口高排量、双造口管理)、动态评估营养风险、阶梯式营养支持、心理干预及居家延续性护理等。治疗与护理后,3例患者造口高排量得到有效控制,营养状况逐渐改善,均好转出院。
This study summarizes the holistic nursing management of high-output stomas in three cases of refractory Crohn′s disease following double stoma surgery.The nursing highlights encompassed management of high-output stomas(including assessment of high stoma output,use of octreotide acetate combined with Bifidobacterium and montmorillonite powder to reduce high stoma output,and dual stoma management),dynamic assessment of nutritional risk,stepped nutritional support,psychological intervention,and continued care at home.After treatment and nursing,the high stoma output in all three patients was effectively controlled,their nutritional status gradually improved,and they were discharged in an improved condition.
作者
郝康妤
杨华
郑艳青
郑畅
谢颖
赵芹
HAO Kangyu;YANG Hua;ZHENG Yanqing;ZHENG Chang;XIE Ying;ZHAO Qin(Nanjing Drum Tower Hospital,Nanjing,Jiangsu,210008)
出处
《实用临床医药杂志》
2025年第2期133-137,共5页
Journal of Clinical Medicine in Practice
基金
国家自然科学基金项目(82300600)。
关键词
克罗恩病
双造口
造口高排量
营养支持
Crohn′s disease
double stoma
high-output stoma
nutritional support
