1例重症伪膜性肠炎患者行粪菌移植的护理

doi:10.3761/j.issn.0254-1769.2022.20.014

中华护理杂志 ›› 2022, Vol. 57 ›› Issue (20): 2526-2530.DOI: 10.3761/j.issn.0254-1769.2022.20.014

1例重症伪膜性肠炎患者行粪菌移植的护理

李芸(), 金爽, 吴静冰, 李红, 陈晓欢, 余涵, 陈美榕()

350000 福州市福建省立医院重症医学二科（李芸,吴静冰,余涵）,护理部（金爽,李红,陈晓欢,陈美榕）

收稿日期:2021-12-17 出版日期:2022-10-20 发布日期:2022-10-24
通讯作者: 陈美榕,E-mail： 1095234844@qq.com
作者简介:李芸：女,硕士,主管护师,E-mail： 532019705@qq.com
基金资助:
福建省科技厅引导性项目(2021Y0051)

Nursing care of a patient with severe pseudomembranous colitis undergoing fecal microbiota transplantation

LI Yun(), JIN Shuang, WU Jingbing, LI Hong, CHEN Xiaohuan, YU Han, CHEN Meirong()

Received:2021-12-17 Online:2022-10-20 Published:2022-10-24

摘要/Abstract

摘要：

总结1例直肠癌根治术后并发肺部感染和伪膜性肠炎患者行粪菌移植的护理经验。护理主要内容如下：第1阶段预防感染加重,包括回肠造瘘口及造瘘液的观察与管理、呼吸功能锻炼、早期活动、营养支持、病情观察;第2阶段粪菌移植护理,包括前期准备、粪菌移植实施要点、粪菌移植后观察与护理。经过精心护理,患者康复出院,随访6个月,患者回肠造瘘液为560~1 050 ml/d,生活自理能力增强,焦虑、抑郁症状改善,生活质量提升。

关键词: 粪菌移植, 重症伪膜性肠炎, 回肠造瘘, 护理

Abstract:

To summarize the nursing care of fecal microbiota transplantation in a patient complicated with pulmonary infection and pseudomembranous colitis after radical resection of rectal cancer. The main contents of nursing are as follows. The first stage is to prevent the aggravation of infection,including the observation and management of ileostomy and ostomy fluid,respiratory function exercise,early functional exercise,nutritional support,and disease observation. The second stage is the care of fecal microbiota transplantation,including preparation for transplantation,the key points of nursing during transplantation,and nursing after transplantation. After careful nursing,the patient has recovered and discharged from the hospital. After 6-month follow-up,the ileostomy fluid was controlled at a normal level of 560-1 050 ml/d,with the enhanced self-care ability and the improved symptoms of anxiety and depression,and the quality of life was improved.

Key words: Fecal Microbiota Transplantation, Severe Pseudomembranous Colitis, Ileostomy, Nursing Care

李芸, 金爽, 吴静冰, 李红, 陈晓欢, 余涵, 陈美榕. 1例重症伪膜性肠炎患者行粪菌移植的护理[J]. 中华护理杂志, 2022, 57(20): 2526-2530.

LI Yun, JIN Shuang, WU Jingbing, LI Hong, CHEN Xiaohuan, YU Han, CHEN Meirong. Nursing care of a patient with severe pseudomembranous colitis undergoing fecal microbiota transplantation[J]. Chinese Journal of Nursing, 2022, 57(20): 2526-2530.

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1例重症伪膜性肠炎患者行粪菌移植的护理

Nursing care of a patient with severe pseudomembranous colitis undergoing fecal microbiota transplantation

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