小肠喂养管在重症脑损伤合并胃潴留患者中的应用效果  

Effects of Intestinal Tube on Severe Brain Injury Patients with Gastric Retention

作　　者：刘芳[1] 魏娜[1] 阮征[1] 王冉[1] 梁涛 

机构地区：[1]首都医科大学宣武医院神经内科监护室,北京100053 [2]协和医学院护理学院,北京100144

出　　处：《解放军护理杂志》2013年第23期72-74,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨小肠喂养管在重症脑损伤合并胃潴留患者中的应用效果。方法 2011年3月至2012年4月,首都医科大学宣武医院神经内科监护室收治的重症脑损伤伴胃潴留患者30例,在pH值引导下,应用胃内注气法,将小肠喂养管作为鼻肠管盲插至患者十二指肠或空肠,以缓解患者胃排空障碍。结果 30例患者中,29例小肠喂养管置入成功,1例失败,置管成功率为96.7%,胃潴留改善率为93.3%,营养支持维持率为93.3%。结论将小肠喂养管应用于重症脑损伤合并胃潴留患者中,可纠正、改善患者胃潴留的发生,值得在临床推广应用。Objective To observe the effects of decreasing gastric retention and continuous nutrition support using intestinal tube as nasal-intestinal tube in severe brain injury patients with gastric retention. Methods Guided by PH monitoring,we placed the intestinal tube （normally using inPEG ）into duodenum or jejunum by using method of air injection into stomach to alleviate gastric retention in 30 patients. Results The successful rate of tube placement was 96.7 %, the rate of alleviating gastric retention was 93.3%. Conclusion Intestinal tube as nasal-intestinal tube to alleviate delayed gastric emptying in severe brain injury patients with gastric retention can reduce the rate of gastric retention,and is worth of further clinical application.

关 键 词：重症脑损伤 胃潴留 小肠喂养管 效果 

分 类 号：R651.15[医药卫生—外科学]