两种肠内营养途径在口腔癌患者早期肠内营养的应用比较  

作　　者：李丽[1] 姚志清[1] 王蓓[1] 张媛[1] 武月华[1] 胡小庆[1] 

机构地区：[1]南京大学医学院附属口腔医院,江苏南京210008

出　　处：《现代临床护理》2009年第12期4-6,共3页Modern Clinical Nursing

基　　金：南京市医学科技发展项目;项目编号YKK07007

摘　　要：目的比较经鼻肠管与经鼻胃管两种肠内营养途径在口腔癌患者实施早期肠内营养的临床应用效果,为口腔癌患者选择安全有效的肠内营养支持途径提供依据。方法将98例口腔癌患者随机分为两组,分别采取鼻肠管与鼻胃管两种途径进行肠内营养支持,比较实施两种肠内营养途径时患者并发症的发生率及住院时间。结果鼻肠管组患者的住院时间为(16.58±3.75)d,鼻胃管组为(20.02±6.42)d,两组比较,经统计学分析,t=3.271,P<0.05,差异具有统计学意义。鼻肠管组患者并发症的发生率(10.4%)明显低于鼻胃管组(62.0%),经统计学分析,χ2=28.039,P<0.05,差异具有统计学意义。结论口腔癌患者实施早期肠内营养选择鼻肠管途径较选择鼻胃管途径更为安全有效。Objective To evaluate and compare the clinical effects of enteral nutrition through a nasogastric tube and a nasointestinal tube for the patients with oral cancers.Methods Ninety-eight oral cancer patients were at random divided into two groups by the parity of their admission numbers.Patients in the nasointestinal tube group received enteral nutrition through a nasointestinal tube（48 patients）,while those in the nasogastric tube group received nutrition thorugh a nasogastric tube（50 patients）.The incidence of complications and the length of hospitalizing were observed and compared.Result There were significant differences in the incidence of complications（χ2=28.039,P0.05） and the length of hospitalizing between the two groups（t=3.271,P0.05）.Conclusions Enteral nutrition through a nasointestinal tube is more effective and safer than through a nasogastric tube for the patients with oral cancers.

关 键 词：口腔癌 空肠管 胃管 肠内营养 

分 类 号：R473.73[医药卫生—护理学]