严重烧伤患者鼻饲管插入时机的护理研究  

The study of the timing of inserting nasal feeding tube in severe burned-patients

作　　者：赵艳霞[1] 王莉[1] 王莹[1] 王艳春[1] 郝清云[2] 

机构地区：[1]山东省滕州市中心人民医院,滕州277500 [2]山东省滕州市工人医院

出　　处：《中国医药导报》2006年第12期7-8,共2页China Medical Herald

基　　金：山东省枣庄市科技局重点项目编号:2005620

摘　　要：目的探讨严重烧伤患者鼻饲管插入的最佳时机。方法120例严重烧伤患者于入院早期行中心静脉穿刺置管、气管切开(或插管)、清创、导尿等抢救措施同时,随机分为3组,分别于烧伤后40min内、40min-3h内、3h后留置鼻饲管,行胃液监测和鼻饲流质饮食,观察并比较3组患者鼻饲插管时间及成功率、伤后不同时期体重、并发症等结果3组患者插管时间及插管成功率、并发症等比较,差异有统计学意义。结论严重烧伤患者应选择在烧伤后40min内留置鼻饲管,可提高插管成功率,维持修复创面所需的营养状态,降低并发症。Objective To study the optimum timing of inserting nasal feeding tube in severe burned patients.Methods 120 cases of severe burned-patients were treated with rescue methods as follows inserting central vein catheter, trachea intubatton (or incision), urethral catheterize and debridement. All patients were divided into three groups. Each group was inserted and retained nasal feeding tube within 40minites, 40minites to 3 hours or more than 3 hours after being burned .The patients were gaven the monitor of gastric juice and were fed with fluidness by nasal tube. The duration and rate of success in inserting nasal feeding tube, the weights of each period after burned(ing), complications were observed and compared among groups.Results The duration and successful rate in inserting nasal feeding tube, complications have statistical differences among groups.Conclusion Inserting nasal feeding tube within 40minites postoperation at severe burned-patients is recommended (advocated) and can increase the successful rate of inserting nasal feeding tube, cater for the nutrition in restoring wound, decrease the complications.

关 键 词：烧伤 鼻饲管 时机 

分 类 号：R[医药卫生]