摘要
目的:探讨重症颅脑损伤患者恒温与加温输注肠内营养制剂对患者胃肠道并发症的影响。方法:选择我院2017年1月至2019年10月收治重症颅脑损伤患者计188例,均进行早期肠内营养支持,按照随机数表法分为采用常规恒温(温度设定为22~26℃)输注恒温组(n=94)与采用加温(温度设定为38~40℃)输入加温组(n=94),对比两组患者胃肠道并发症发生情况。结果:加温组总并发症发生率为76.60%(72/94),恒温组并发症发生率为73.40%(69/94),组间对比无显著差异。具体而言,恒温组便秘、胃潴留率高于加温组,即恒温组在便秘的发生率上为36.17%,而加温组则为19.15%,而胃潴留表现上,恒温组则为29.79%,而加温组则为17.02%,P<0.05,腹泻率低于加温组,P<0.05。两组腹胀率与呕吐率对比无显著差异,P>0.05。除此之外,我们对患者进行了每日制剂泵入总量以及制剂泵入速度上两组存在差异性,其中,恒温组分别为(1038.54±222.16)mL和(59.52±14.36)mL/h,而加温组则为(1001.25±223.52)mL和(62.11±10.93)mL/h,组间差异显著,具有可比性(P>0.05)。最后,我们也评估了患者的GCS评分,其中,恒温组为(7.85±2.15)分,加温组则为(8.66±4.16)分,在病情康复上也恒温组改善更好。结论:对重症颅脑损伤患者在进行肠内营养支持时采用恒温与加温输注均存在一定的并发症,在临床护理的过程中应该充分考虑患者并发症的差异及时调整护理方案,以改善患者预后。
Objective: To investigate the effect of constant and warm enteral nutrition on gastrointestinal complications in patients with severe craniocerebral injury. Methods: 188 patients with severe craniocerebral injury were enrolled in our hospital from January 2018 to October 2019, all of whom received early enteral nutrition support. According to the random number table method, they were divided into two groups: the conventional constant temperature(set as 22~26℃)infusion constant temperature group(n=94)and the heating(set as 37~40℃)infusion warming group(n=94). The gastrointestinal complications of the two groups were compared. Results: The total incidence of complications was 76.60%(72≤94)in warming group and 73.40%(69 ≤ 94)in constant temperature group. There was no significant difference between the two groups. Specifically, the incidence of constipation and gastric retention in the constant temperature group was 36.17%, while that in the warming group was 19.15%, while that in the constant temperature group was 29.79%, while that in the warming group was 17.02%, P<0.05, and the diarrhea rate was lower than that in the warming group(P<0.05). The incidence of constipation in the constant temperature group was 36.17%, while that in the warming group was 19.15%, while that in the warming group was 29.79%, while that in the warming group was 17.02%, P<0.05, and the diarrhea rate was lower than that in the warming group(P<0.05). There was no significant difference in abdominal swelling rate and vomiting rate between the two groups(P>0.05). In addition, there were differences between the two groups:(1038.54±222.16)mL and(59.52±14.36)mL/h, respectively, and(1001.25±223.52)mL and(62.11±10.93)mL/h, respectively. Finally, we also evaluated the GCS score of the patients, which was(7.85±2.15)in the constant temperature group and(8.66±4.16)in the warming group, which was better in the constant temperature group. Conclusion: There are some complications in the enteral nutrition support for patients with severe cr
作者
陈志林
陈喜
郑盼盼
陈佩莹
蒙莉萍
CHEN Zhi-lin;CHEN Xi;ZHENG Pan-pan;CHEN Pei-ying;MENG Li-ping(The First Affiliated Hospital of Hainan Medical College,Haikou Hainan 570102,China)
出处
《医学食疗与健康》
2020年第8期1-2,4,共3页
Medical Diet and Health
基金
海南省卫生和计划生育委员会基金项目(18A200104)。
关键词
肠内营养制剂
重症脑损伤
恒温
加温
并发症
Enteral Nutrition
Severe Brain Injury
Constant Temperature
Heating
Complications
