重力鼻饲喂养对手足口病机械通气患儿的疗效评估  

The curative effect evaluation of gravity nasal feeding to mechanical ventilation in children with hand foot and mouth disease

作　　者：马秀玲[1] 李燕[1] 冯雪[1] 郭淑慧[1] 

机构地区：[1]河北省唐山市妇幼保健院,063000

出　　处：《中国妇幼保健》2013年第30期5085-5086,共2页Maternal and Child Health Care of China

摘　　要：目的:探讨重力鼻饲喂养对手足口病机械通气患儿喂养及并发症的影响。方法:将108例手足口病机械通气患儿随机分重力鼻饲喂养54例为实验组和间断鼻饲喂养54例为对照组,观察患儿喂养时的耐受性,有无消化道出血及呼吸机相关性肺炎的发生,机械通气时间,住院天数。结果:实验组和对照组患儿喂养不耐受、消化道出血发生率、机械通气时间及住院天数比较差异有统计学意义(P<0.01),呼吸机相关性肺炎的发生率差异有统计学意义(P<0.05)。结论:重力鼻饲喂养应用于手足口病机械通气患儿耐受性好,能增加营养物质的吸收,减少并发症的发生,缩短机械通气时间及住院天数,促进患儿康复,降低患儿家属的经济负担。Objective： To study the effect of gravity nasal feed on hand foot and mouth disease （HFMD） children with mechanical ventilation and its impact to complications. Methods： 108 cases of HFMD children with mechanical ventilation were randomly divided into experimental group （54 cases gravity nasal feed） and control group （54 cases discontinuous nasal feeding） . The children＇s feeding toler- ance, presence of the digestive tract hemorrhage , the incidence of ventilator associated pneumonia, mechanical ventilation time and hospi- talization days were observed. Results： There were significant difference between experimental group and control group with feeding intoler- ance, the incidence of gastrointestinal bleeding, mechanical ventilation time and hospitalization days （P 〈 0. 01 ） . The incidence of venti- lator associated pneumonia was significantly different （ P 〈 0. 05 ） . Conclusion： Nasal gravity feed used in HFMD children with mechanical ventilation resistance is good, which can increase the absorption of nutrients, reduce complications, shorten the time of mechanical ventila- tion and hosoitalization days. oromote oatients recover, reduce the economic burden of families.

关 键 词：重力鼻饲喂养 手足口病 机械通气 

分 类 号：R725[医药卫生—儿科]