Clinical application and nursing of proteine hydrolysate in postoperative patients with gastrointestinal diseases

ZHU Junjie; NI Chunping; FENG Xiangying; LI qin; WANG Shiqi; ZHAO Qingchuan

doi:10.3969/j.issn.1674-3768.2014.03.002

Abstract：Objective To explore the clinical application value and nursing of proteine hydrolysate among postoperative patients with gastrointestinal diseases .Methods 32 patients with gastrointestinal diseases were randomly divided into experimental group and control group . The experimental group was given proteine hydrolysate through nasointestinal tube for enteral nutrition support .The control group was given traditional standard nutrient through central venous catheter for parenteral nutrition support .The two groups were offered the same amount of nutrients .The physiological indexes including body weight , ventilation and purgation time , negative nitrogen balance ,output of urinary urea nitrogen ,hemoglobin and plasma-albumin level ,immunocyte CD4 + , CD8 + and CD4 + /CD8 + were observed and compared on the eighth and fourteenth day after operation .Results The ventilation and purgation time in the experimental group (2 O.54 ± 0 .32 days) was significantly shorter than that in the control group (5 .26 ± 0 .33 days) .The body weight decrease ,negative nitrogen balance ,urinary urea nitrogen output ,hemoglobin and plasma-albumin level increase and CD4 + ,CD8 + and CD4 + /CD8 + increase in the experimental group were better than that in the control group .Conclusion As the material of postoperative enteral nutrition support , proteine hydrolysate can improve gastrointestinal function , enhance immunologic competence , promote recovery of patients and have a better clinical application value .Effective nursing practice can improve proteine hydrolysate's tolerance among postoperative patients with gastrointestinal diseases .