内镜下放置小肠营养管治疗慢性呼吸衰竭伴营养不良患者20例护理体会  

Intestinal Nutrition Using Endoscope Putting Duct Treating Chronic Respiratory Failure Patients with Malnutrition:20 Cases Report and Nursing Experience

作　　者：谢华琼[1] 王珠美[1] 

机构地区：[1]杭州市余杭区第二人民医院,杭州311121

出　　处：《中国初级卫生保健》2010年第6期104-105,共2页Chinese Primary Health Care

摘　　要：目的观察内镜下放置小肠营养管对改善呼吸衰竭患者的营养状况及临床症状改善的疗效。方法选择40例在我院住院的慢性呼吸衰竭伴营养不良患者,通过口胃肠道和小肠营养管两种途径予以营养干预,经过精心护理21天后评估临床症状及体征的改善情况,进行人体测量学测量、血清蛋白数值等检测以及血气分析,观察营养干预的效果。结果经过21天的营养干预治疗和护理发现小肠营养管组的效果明显优于口胃肠组。结论两种营养干预方式对慢性呼吸衰竭伴营养不良患者的营养状况均有不同程度的改善,但内镜下放置小肠营养管疗效更显著,具有实用性和可行性,值得临床选用。OBJECTIVE Observe the effect of nutrition improvement and clinical symptoms modification in chronic respiratory failure patients with malnutrition by using intestinal nutrition through endoscopic duct putting. METHODS 40 cases of chronic respiratory failure patients with malnutrition were selected from our inpatient department,using oral-gastrointestinal tract and intestinal nutritional tract,to improve patients nutrition condition, after 21 days,assessing clinical symptoms modification,body and serum iron ferritin evaluation,blood gas analysis. RESULTS after 21 days treating and nursing,effect in intestinal nutritional tract group is better than oral- gastrointestinal tract group. CONCLUSION each kind of nutrition intervention can improve nutrition condition and modify clinical symptoms in chronic respiratory failure patient with malnutrition,and intestinal nutrition using endoscope putting duct is more effective, practical and feasibal.

关 键 词：慢性呼吸衰竭 小肠营养管 人体测量 血清铁蛋白 护理 

分 类 号：R473.5[医药卫生—护理学]