摘要
目的探讨ICU重型颅脑损伤患者床旁徒手盲插鼻空肠管可行性与安全性研究。方法选取我院ICU收治纳入标准的64例重型颅脑损伤患者作为研究对象,采用随机数字表法分为两组,每组各32例患者。对照组患者采用留置胃管给予肠内营养,实验组患者患者床旁徒手盲插鼻空肠管置入给予肠内营养。观察两组患者一次性置管成功率、营养状况及并发症发生情况,并对两组数据进行统计分析。结果实验组鼻空肠管一次性置入成功率为93.75%,对照组为100%,数据差异无统计学意义(P> 0.05);实验组患者并发症发生情况都明显优于对照组,差异有统计学意义(P <0.05);实验组与对照组主观综合营养评价量表(SGA)评价比较,差异无统计学意义(P> 0.05)。结论 ICU重型颅脑损伤患者床旁徒手盲插鼻空肠管不仅简单易行,一次性置入成功率高,近期和远期并发症少,还能满足患者在治疗期间的营养需要。该技术可行性和安全性较高,利于患者早日康复,可行性和安全性较高。
Objective To investigate the feasibility and safety of blind naso-jejunal catheterization beside bed in patients with ICU severe craniocerebral injury. Methods Sixty-four patients with severe craniocerebral injury in ICU of our hospital were included as the research object, and randomly divided into two groups, 32 patients in each group. The patients in the control group were given enteral nutrition by indwelling gastric tube, and the patients in the experimental group were given enteral nutrition by unarmed blind naso-jejunal catheterization. The one-time success rate of catheterization, nutritional status and complications of the two groups were observed. and the data of the two groups were statistical analyzed. Results The one-time success rate of catheterization in experimental group was 93.75%, and in the control group was 100%, there was no significant difference（P 〉0.05）. The incidence of complications in the experimental group was significantly better than that in the control group（P 〈0.05）, but there was no significant difference between the experimental group and the control group in the evaluation of subjective comprehensive nutrition evaluation scale（SGA）, P 〉0.05. Conclusion Unarmed blind naso-jejunal catheterization beside bed in ICU patients with severe craniocerebral injury is not only simple and easy, one-time success rate of catheterization is high, short-term and long-term complications are few, but also to meet the nutritional needs of patients during treatment. During treatment, the technical feasibility and the safety is high, is beneficial to the early rehabilitation of patients, feasibility and high safety.
作者
雷玲
池锐彬
林婷
廖伟燕
LEI Ling;CHI Ruibin;LIN Ting;LIAO Weiyan(ICU,Xiaolan People＇s Hospital of Zhongshan City,Zhongshan 538200,China)
出处
《中国医药科学》
2018年第17期212-214,共3页
China Medicine And Pharmacy
基金
广东省中山市卫生与计划生育局医学科研项目(2016J142)
关键词
重型颅脑损伤
徒手盲插
鼻空肠管
可行性
安全性
Severe craniocerebral injury
Unarmed blind insertion
Nasal empty intestines
Feasibility
Safety
