鼻肠管喂养在机械通气患者中的应用观察  

The use of nasointestinal tube feeding in patients receiving mechanical ventilation.

作　　者：楼浩明[1] 曹同瓦[1] 

机构地区：[1]复旦大学附属华山医院危重病科,上海200040

出　　处：《中国实用内科杂志》2007年第S1期200-202,共3页Chinese Journal of Practical Internal Medicine

摘　　要：目的通过在机械通气的患者中应用鼻肠管喂养,了解鼻肠管喂养对机械通气患者的影响。方法选择复旦大学附属华山医院危重病科行机械通气的患者,随机分入观察组和对照组,观察组使用鼻肠管喂养,对照组使用鼻胃管喂养,两组使用等热量、等氮量的营养支持。检测患者的营养状况、机械通气天数、误吸发生率、肺炎发生率等指标。结果共有178例机械通气患者进入研究。两组患者第7天的三头肌皮褶厚度、前白蛋白、氮平衡、机械通气天数差异无显著性意义。试验组的误吸发生率、肺炎发生率较对照组显著降低。结论在机械通气的患者中应用鼻肠管喂养能减少误吸,降低肺炎发生率,是机械通气患者营养支持的有效手段。Objective To evaluate the effect of nasointestinal tube in patients receiving mechanical ventilation.Methods Patients receiving mechanical ventilation were randomLy divided into two groups.The two groups were isocaloric and isonitrogen.The study group used nasointestinal tube feeding.The control group used nasogastric tube feeding.Nutrition status,ventilator days,aspiration incidence and pneumonia incidence were measured.Results 178 patients receiving me- chanical ventilation were divided into two groups.The study group showed reduction in aspiration incidence and pneumoni- a incidence.Other measurements showed no significant difference.Conclusion Nasointestinal tube feeding could reduce aspiration and pneumonia incidence in patients receiving mechanical ventilation.

关 键 词：鼻肠管喂养 机械通气 肺炎 

分 类 号：R459.6[医药卫生—治疗学]