摘要
目的探讨两种不同的肠内营养方法对重症颅脑疾病患者发生返流误吸风险的差异。方法将84例需行肠内营养的ICU重症颅脑疾病患者随机分成鼻胃管组和鼻肠管组,每组各42例。两组均以鼻饲泵持续泵入肠内营养液进行营养,两组喂养72h内采集气管插管气囊上分泌物,检测胃蛋白酶含量,判断返流误吸风险。结果鼻胃管组返流的发生率明显高于鼻肠管组,差异有统计学意义(P<0.05)。结论鼻肠管鼻饲能有效减少因胃内容物返流误吸风险。在条件允许的情况下,早期使用螺旋型鼻肠管,对重症颅脑疾病患者的预后及康复有重要意义。
Objective To study the risk of reflux and aspiration differences between two different method in en teral nutrition for patients with severe brain disease. Method 84 patients with severe brain disease who required enteral nutrition were randomly divided into nasogastric tube group and nasal intestinal group. 42 patients in each group. Patients in both group were both continous pumped enteral nutrition through two method, endotracheal intubation secretion within 72 hours and test the content of pepsin to determine the risk on reflux and aspiration. Result The incidence of reflux and aspiration in nasogastric tube groups was significant higher than that of the nasal group.The difference was significantly difference（P〈0.05）. Conclusion Feeding by nasal intestinal tube can effectively reduce the risk of reflux and aspiration. When condition permit, the early use of spiral nasal intestinal tube had significance on the prognosis and rehabilitation of patients with severe brain disease.
出处
《护士进修杂志》
2014年第24期2213-2215,共3页
Journal of Nurses Training
关键词
螺旋型鼻肠管
肠内营养
返流
重度颅脑损伤
鼻胃管
Spiral nose intestinal Enteral nutrition Reflux Severe brain injury Nasogastric tube
