肠内营养胃管持续泵入法改善高龄缺血性脑卒中后吞咽困难患者的营养状况  

Influence of Nasogastric Tube Continuous Pump Feeding-Enteral Nutrition on Nutritional Status of Elderly Patients With Dysphagia after Acute Ischemic Stroke

作　　者：赵杏丽[1] 龚梅[1] 杨丽娟[1] 高中宝[1] 

机构地区：[1]解放军总医院南楼,神经科北京100853

出　　处：《解放军护理杂志》2014年第5期70-72,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：中央保健专项资金科研课题(B2009B104)

摘　　要：目的观察肠内营养胃管持续泵入法对高龄缺血性脑卒中后吞咽困难患者营养状况及并发症的影响。方法便利抽样法选择2012年1-10月我科收治的56例缺血性脑卒中后吞咽困难患者,采用随机数字表法将入组患者随机分为两组:观察组28例,采用胃管持续泵入鼻饲法;对照组28例,采用传统注射器注入法。比较两组患者鼻饲前及鼻饲第10天总蛋白、前白蛋白、白蛋白、血红蛋白等指标,以及腹胀、腹泻、反流、肺部感染等并发症发生情况。结果观察组前白蛋白水平高于对照组,差异有统计学意义(P<0.05);两组发生并发症情况比较,观察组胃部反流及肺部感染的发生率均低于对照组(均P<0.05)。结论胃管持续泵入法能够明显改善高龄缺血性卒中后吞咽困难患者的营养状况,降低患者相关并发症的发生率。Objective To observe the influence of nasogastric tube continuous pump feeding of enteral nutrition on nutritional status and complication of acute ischemic stroke patients with dysphagia.Methods By convenience sampling,fifty-six acute ischemic stroke patients with dysphagia were divided into observation group （28） and control group （28）.Observation group was feed by nasogastric tube continuous pump,and control group was feed by infusion with injector.Level of total protein,prealbumin,albumin and haematoglobin at baseline and ten days later of two groups were compared,as well as the complication such as abdominal distention,diarrhea,back flow and pulmonary infection.Results The level of prealbumin in observation group was higher than which in control group（P〈0.05）.Regarding to the complication,the incidences of back flow and pulmonary infection of observation group were significantly lower than control group（P〈0.05）.Conclusion The nasogastric tube continuous pump feeding can obviously improve the nutritional status of acute ischemic stroke patients with dysphasia,and decrease the incidences of the relevance complications.

关 键 词：胃管持续泵入法 吞咽功能障碍 肠内营养 缺血性卒中 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R459.3[医药卫生—临床医学]