十二指肠胃管和螺旋型鼻肠管在高龄患者中应用的不良反应比较  

A Comparison of Adverse Effects of Transduodenal Gastric Tube and Spiral Nasointestinal Tube on Advanced Aged Patients

作　　者：麻玉秀[1] 刘志英[1] 汪霞[1] 

机构地区：[1]中国人民解放军总医院南楼临床部心一科一病区,北京100853

出　　处：《护理学报》2009年第5期58-59,共2页Journal of Nursing（China）

摘　　要：目的比较十二指肠胃管和螺旋型鼻肠管在长期鼻饲的高龄患者中应用的不良反应,为临床采用更安全的管道鼻饲提供依据。方法将52例长期进行胃肠内营养的高龄患者根据入院的先后顺序分为螺旋型鼻肠管组和十二指肠胃管组各26例。观察比较两组在住院期间呕吐反流、误吸、腹泻、腹胀、肺部感染、堵管等不良反应的发生情况。结果在呕吐反流、误吸、腹泻、腹胀、肺部感染方面比较,差异有统计学意义(P<0.05);堵管方面比较,差异无统计学意义(P>0.05)。结论应用螺旋型鼻肠管的不良反应明显低于十二指肠胃管。对于高龄需长期鼻饲患者采用螺旋型鼻肠管行肠内营养更为安全有效。Objective To compare the adverse effects of transduodenal gastric tube and spiral nasointestinal tube on advanced aged patients who required long-term feeding via alimentary canal, and thus to provide some basis for formulating a safer nasogastric feeding way. Methods 52 advanced aged patients who required long-term feeding via alimentary canal were divided into spiral nasointestinal tube feeding group （experimental group） and transduodenal gastric tube feeding group （control group） consecutively, in the order of their hospitalization time. And observations of adverse reactions during hospital stay were conducted and a comparison was made. Results Adverse reactions such as vomiting and reflux, aspiration, diarrhea, abdominal distention and pulmonary infections occurred significantly less in the observation group than in the control group （P〈0.05）, while in the tube blockage, no significant difference was observed （P〉0.05）. Conclusion Spiral nasointestinal tube feeding is a safer and more effective way for advanced aged patients who need long-term nasogastric feeding.

关 键 词：十二指肠胃管 螺旋型鼻肠管 高龄患者 不良反应 

分 类 号：R473.5[医药卫生—护理学] R471[医药卫生—临床医学]