摘要
目的研究探讨神经外科重症患者不同鼻饲方法与胃潴留的相关性。方法选取了2014年1—12月我院收治的神经外科重症患者共120例,按照随机抽取的原则将其分为A、B、C三组各40例,A组患者给予间歇推注鼻饲法进行营养支持,B组采用肠内营养袋经胃管间歇重力滴注鼻饲法,C组采用胃肠营养输注泵持续泵注鼻饲法,然后对三组患者出现胃潴留情况进行对比分析。结果统计结果显示,A组患者中发生胃潴留5例,发生率为12.5%;B组患者发生胃潴留7例,发生率17.5%;C组患者中发生胃潴留3例,发生率为7.5%。组间对比差异有统计学意义(P<0.05)。结论在神经外科重症患者肠内营养支持过程中,不同鼻饲方式病人胃潴留发生率不同,对此在临床上需要引起重视,依据患者不同情况选择合适的鼻饲方法。
Objective To investigate therelevancebetween different nasal feeding methodsandgastric retention in neurologicalsevere patients. Methods During January2014 and December2014,120 critically ill patients admitted toneurological department of our hospital were randomly selected and divided into A,B,C group according to the principle,40 cases in each groups. Patients in group A were given intermittent bolus nasal feeding nutrition support,entrant in group Breceived enteral nutrition bag by intermittent gravity drip through nasal feeding tube,patients in group C adopted continuousnasal infusion method through nutrition infusion pump,then gastric retention situation of the three groups of patients were comparatively analyzed. Results The statistical results showed that,five cases of gastric retentionoccurred in group A,the rate was 12. 5%. In group B,seven casesof patients with gastric retention,the incidence was 17. 5%. Threepatients in group C were found suffered gastric retention,the rate was 7. 5 %. Differences amongthe three groups were statistically significant difference（ P〈0. 05）. Conclusions In the process of nutritional support for neurological intensivepatients,the occurrence rate of gastric retention is different according to different ways,it needs clinical attention. Patientsshould be treated differently according to different conditions.
出处
《齐齐哈尔医学院学报》
2015年第17期2650-2651,共2页
Journal of Qiqihar Medical University
基金
韶关市卫生局(项目编号:WSTJJ20131007362531197903060328)
关键词
神经外科重症
鼻饲方法
胃潴留
相关性
Neurological intensive patients
Nasal feeding method
Gastric retention
Correlation
