鼻饲生大黄预防高血压脑出血昏迷患者胃肠功能紊乱的研究  

Study of preventing gastrointestinal function disorders for hypertensive patients with cerebral hemorrhage and coma by using nasal feeding rhubarb

作　　者：成杰[1] 李新[1] 宋云华[1] 毕金玲[1] 田华[1] 刘清军[1] 

机构地区：[1]华北煤炭医学院附属医院神经外科,河北唐山063000

出　　处：《护士进修杂志》2011年第5期394-395,共2页Journal of Nurses Training

摘　　要：目的观察鼻饲生大黄预防高血压脑出血昏迷患者胃肠功能紊乱的效果。方法将79例高血压脑出血昏迷患者随机分为观察组和对照组,两组患者入院后均给予留置胃管。观察组给予生大黄粉4.5 g加50 ml温开水搅拌均匀后鼻饲,2次/d,鼻饲后夹闭胃管1 h;对照组仅给予50 ml温开水鼻饲。观察两组患者入院后两周内腹胀的发生率、腹胀的持续时间、胃食管返流的发生率及消化道出血的发生率。结果观察组腹胀的发生率较对照组明显下降(P<0.05);观察组腹胀时间较对照组明显缩短(P<0.05);观察组胃食管返流发生率较对照组明显减少(P<0.05);观察组消化道出血发生率较对照组明显减少(P<0.05)。结论鼻饲生大黄能有效预防高血压脑出血昏迷患者胃肠功能紊乱的发生。Objective To observe the effect of preventing gastrointestinal function disorders for hypertensive patients with cerebral hemorrhage and coma using nasal feeding rhubarb. Method 70 hypertensive patients with cerebral hemorrhage and coma were randomly divided into treatment group and control group,and the patients of the two groups were treated with indwelling stomach tube after they were admitted to hospital.The treatment group received 4.5 g rhubarb powder plus 50 ml of warm water through nasal feeding after stirring twice a day,and clipping the tube for 1 h after nasal feeding,and the control group only received 50 ml of warm water through nasal feeding.The incidence of abdominal distension,the duration of abdominal distension,the incidence of gastroesophageal reflux and the incidence of gastrointestinal bleeding were observed within two weeks after admission.Result The incidence of abdominal distension in the treatment group decreased significantly compared with the control group（P〈0.05）,and the duration of abdominal distension in the treatment group was significantly shorter than that of control group（P〈0.05）,and the incidence of gastroesophageal reflux and gastrointestinal bleeding in treatment group was significantly reduced compared with the control group（P〈0.05）.Conclusion The nasal feeding rhubarb can be effective in preventing gastrointestinal dysfunction for hypertensive patients with cerebral hemorrhage and coma.

关 键 词：生大黄 高血压脑出血 腹胀 胃食管返流 消化道出血 护理 

分 类 号：R472[医药卫生—护理学] R473[医药卫生—临床医学]