人工鼻饲护理模式在脑卒中意识障碍留置胃管患者中的应用  

Application of artificial nasal feeding mode in the consciousness obstacle of stroke patients with nasogastric tube

作　　者：张雅静[1] 李茜茜[1] 季衍丽[1] 

机构地区：[1]解放军总医院神经内科,北京100853

出　　处：《中华现代护理杂志》2012年第36期4387-4389,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨人工鼻饲护理模式在脑卒中意识障碍留置胃管的患者中的应用效果。方法选择2010年11月至2012年7月在解放军总医院神经内科住院50例意识障碍留置胃管实施人工喂养的患者作为研究对象，期间单日采用常规鼻饲方法，双日采用人工鼻饲护理模式方法。分析不同肠鸣音次数患者食管反流发生率情况，并比较两种方法食管反流发生率。结果不同肠鸣音次数患者食管反流发生率不同，差异有统计学意义（χ2=51．824，P〈0．01）；采用人工鼻饲护理模式患者食管反流发生率为14．7％，明显低于常规鼻饲方法患者（33．8％），差异有统计学意义（χ2=20．718，P〈0．01）。结论肠鸣音次数越多患者食管反流发生率越低；人工鼻饲护理模式能够有效预防和降低胃食管反流的发生。Objective To explore the effect of artificial nasal feeding mode on the consciousness obstacle of stroke patients with nasogastric tube. Methods From November 2010 to July 2012,50 patients with consciousness disorder and nasogastric tube in the ward of neurology department were enrolled in the study. The routine and artificial nasal feeding methods were performed on odd days and even days respectively. Then, bowel sound frequency, the incidence of reflux were observed and analyzed. Results The incidence of gastro- esophageal reflux in the artificial nasal feeding mode group was significantly lower than that in the routine artificial feeding method group （ 14.7% vs 33.8% ; χ2 = 20. 718, P 〈 0.01 ）. And patients had significantly different incidence of reflux with different bowel sound frequency （χ2= 51. 824,P 〈 0.01 ）. Conclusions The incidence of reflux is negatively correlated with the bowel sound frequency. And application of the artificial nasal feeding mode on consciousness obstacle of stroke patients with nasogastric tube can reduce the incidence of gastro-esophageal reflux.

关 键 词：卒中 意识障碍 食管反流 留置胃管 人工鼻饲护理模式 

分 类 号：R473.74[医药卫生—护理学]