摘要
目的探讨植物状态患者营养治疗及护理。方法选取40例处于植物状态患者,前2周采用鼻饲常规的流质(稀粥、肉汤),每日6餐,每餐200～250 mL;后4周采用每天鼻饲婴儿米粉40 g+百普素20 g,每日分6餐喂养。监测患者的血清白蛋白(ALB)、上臂肌围(AMC)、三头肌皮褶厚度(TSF)、体重等相关指标。结果常规鼻饲每天费用35.0元,耗时2.5 h;营养配方鼻饲每天费用37.5元,耗时1 h。常规鼻饲开始、第2周ALB、AMC、TSF、体重的差异无统计学意义(P>0.05);应用婴儿米粉+百普素喂养后,除第4周AMC增长不明显,其余各指标较常规鼻饲法均增高,且第6周指标高于第4周,差异均有统计学意义(P<0.05)。结论采用鼻饲婴儿米粉+百普素进行营养支持有效提高患者的营养状况,增强机体抵抗力且能节省时间。
Objective To explore the nutritional therapy and nursing of patients with persistent vegetative state.Method 40 cases of patients with persistent vegetative state were given regular fluids（gruel and broth） by nasal feeding in the first two weeks,six meals a day and 200～250 mL every meal;in the later four weeks the patients were given baby cereal 40 g and ensure powder 20 g every day by nasal feeding,six meals a day.Patients＇ relevant indexes of serum albumin（ALB）,mid-upper arm muscle circumference（AMC）,triceps skin-fold thickness（TSF） and body weight etc.were observed.Results Regular nasal feeding cost $35.0 and 2.5 hours every day;nutritional therapy by nasal feeding cost $37.5 and 1 hour every day.By regular nasal feeding,ALB,AMC,TSF and body weight in second week had no statistically significant differences（P〈0.05）;after nasal feeding baby cereal and ensure powder,relevant indexes were higher than those of regular nasal feeding except for no significant increase of AMC in the 4th week,and indexes of the 6th week was higher than those of the 4th week and the differences were statistically significant（P〈0.05）.Conclusion Nasal feeding of baby cereal plus ensure powder provides nutritional support so as to effectively improve the nutrition status of patients,enhance body＇s immunity and save time.
出处
《保健医学研究与实践》
2011年第2期46-47,共2页
Health Medicine Research and Practice
关键词
植物状态
患者
肠内营养
护理
Persistent vegetative status
Patients
Enteral nutrition
Nursing
