不同鼻饲方式预防危重症患者胃肠道并发症研究  

Comparative study on different nasal feeding methods for prevention of gastrointestinal complications in critically ill patients

作　　者：李萍[1] 王芳[2] 王海燕[1] 

机构地区：[1]新疆维吾尔自治区人民医院护理部,新疆乌鲁木齐830001 [2]无锡市人民医院

出　　处：《护理学杂志》2010年第15期5-7,共3页

基　　金：新疆自治区人民医院院内科研项目(20090103)

摘　　要：目的探讨预防ICU危重症患者鼻饲并发症的最佳鼻饲方式。方法将180例ICU危重症患者随机分为持续24h组、持续16h组和间断24h组各60例,均采用营养液瑞素进行鼻饲。持续24h组持续泵注24h;持续16h组持续泵注16h,余下8h休息;间断24h组将24h分为8个时间单元,每个时间单元3h,其中2h持续泵注,1h停止泵注。结果三组胃肠道并发症发生总例次、胃潴留发生率比较,差异有统计学意义(均P<0.05)。结论营养液间断泵注方法可降低危重症患者胃潴留发生率,此方法更适合ICU危重症患者的营养支持。Objective To explore the best nasal feeding method for prevention of gastrointestinal complications in critically ill patients.Methods Totally,180 critically ill patients were randomly divided into three groups of 60,receiving fresubin via nasal fee-ding.The nutrient solutions were continuously infused for 24 h in group 1 or for 16 h in group 2 at constant rates,and in the third group the nutrient solutions were infused for 2 h and ceased 1 h,with the total infusion time being 16 h in one day.Results Significant differences were found in the total incidence rate of gastrointestinal complications and the rate of gastric retention among the 3 groups （P〈0.05 for both）.Conclusion The nutrient solutions infused in 24 h with interruptions can reduce gastric retention,and it is more suitable for critically ill patients.

关 键 词：危重患者 鼻饲 预防 胃肠道反应 胃潴留 腹泻 便秘 并发症 

分 类 号：R473.5[医药卫生—护理学]