摘要
目的 探讨老年瘫痪患者不同鼻饲方法的并发症，为防止其发生提供理论依据。方法 选择老年瘫痪患者26例，随机分为2组：定时鼻饲组用鼻饲泵1次输入鼻饲饮食250mL，每6h1次；持续鼻饲组用鼻饲泵连续输入鼻饲饮食，在5～7h内完成。观察2组患者胃肠道并发症、上消化道出血、感染并发症及血糖情况。结果 定时鼻饲组胃肠道并发症、上消化道出血及感染并发症的发病率明显低于持续鼻饲组（P均〈0．05），而2组鼻饲后血糖水平均有不同程度的升高，但2组之间无显著性差异。结论 定时鼻饲法在减轻患者腹胀、腹泻、便秘症状、降低上消化道出血及吸入性肺炎等并发症的发生等方面均优于持续鼻饲法，鼻饲患者均应注意血糖的监测，预防并发症的发生。
Objective It is to explore the implications of different nasal feedings in old patients with paralysis, so to provide theory proof for avoiding them. Methods 26 old patients with paralysis were chosen and randomly divided into 2 groups. Regular nasal feeding group was given nasal feeding food 250 mL once by nasal feeding pump every 6 h. Continuing nasal feeding group was given all the nasal feeding food within 5 - 7 h by nasal feeding pump. Blood sugar and complications such as abdominal distension, diarrhea, constipation, upper gastrointestinal hemorrhage and infections of the patients in both groups were observed. Results The occurring rates of complications such as abdominal distension, diarrhea, constipation, upper gastrointestinal hemorrhage and infections in regular nasal feeding group were obviously lower than those in continuing nasal feeding group（P〈0.05）. The levels of blood sugar after nasal feeding in both groups rose up more or less, but there was no significant difference between the two groups. Conclusion Regular nasal feeding is superior to continuing nasal feed- ing, because the complications such as abdominal distension, diarrhea, constipation of the former is lighter than those in the latter with lower occurring rates of upper gastrointestinal hemorrhage and aspiration pneumonitis. It is important to determine blood sugar of the patients accepted nasal feeding and to prevent complications.
出处
《现代中西医结合杂志》
CAS
2008年第22期3403-3404,3418,共3页
Modern Journal of Integrated Traditional Chinese and Western Medicine
关键词
瘫痪
定时鼻饲
持续鼻饲
paralysis
regular nasal feeding
continuing nasal feeding
