盲插法鼻腔肠管置入在重症脑卒中早期应用的护理  

Nursing application of the placement of nasal jejunal tube with blind insertion method in early severe cerebral stroke

作　　者：王艳娟[1] 张丹[1] 

机构地区：[1]沈阳军区总医院神经内科,辽宁沈阳110840

出　　处：《实用临床医药杂志》2015年第22期14-15,25,共3页Journal of Clinical Medicine in Practice

摘　　要：目的 探讨86例重症脑卒中患者早期应用盲插法置入鼻腔肠管对降低误吸及肺内感染发生率的效果。方法从本院神经内科ICU中选取86例在入院后24-72 h给予床旁盲插法技术置入螺旋型鼻肠管,置管前禁食4 h,给予促进胃动力药,患者侧卧后置管。置管后做好导管的维护,正确输注肠内营养液,加强基础护理及并发症护理。结果 置管成功78例,成功率为90.7%,肠内营养支持10-15 d,有效降低了误吸及肺内感染发生率,减轻了临床护理工作量。结论 重症脑卒中患者早期（24-72 h）应用鼻腔肠管可有效降低误吸及肺内感染发生率,有效实现肠内营养。Objective To investigate the effect of 86 severe stoke patients who were given blind - inserted nasal - jejunum - tube placement in reducing aspiration and lung inner infection in their early stage. Methods A total of 86 cases were given blind - inserted screw type nasal - jejunum- tube placement after 24-72 hours of admission, they were fasted for 4 hours before placement, and were given stomach promotion drug, the tube placement was carried out after the pa- tients lie down in lateral position. After the operation, the tube was maintained well, enteral nutrition was infused accurately, and basic care and complication were strengthened. Results There were 78 cases with successful tube placement, and the achievement rate was 90.7 %. The 10- 15 days of enteral nutrition had effectively reduced the incidence rate of aspiration and lung infection, and lessened clinical nursing activities. Conclusion Nasal - jejunum - tube for severe stroke patients in early stage （24-72 hours） can reduce the incidence rate of aspiration and lung inner infection, and effectively obtain enteral nutrition.

关 键 词：盲插法 螺旋型鼻腔肠管 重症脑卒中 早期肠内营养 护理 

分 类 号：R473.5[医药卫生—护理学]