重型颅脑损伤患者肠内营养不同鼻饲途径吸入性肺炎发生率的探讨  

Incidence of Aspiration Pneumonia in Different Feeding Way of Nasogastric Enteral Nutrition About Severe Traumatic Brain Injury Patients

作　　者：叶雅顺[1] 

机构地区：[1]厦门市第三医院,361000

出　　处：《中国卫生标准管理》2015年第21期52-54,共3页China Health Standard Management

摘　　要：目的探讨重型颅脑损伤患者肠内营养不同鼻饲途径吸入性肺炎的发生率。方法将重型颅脑损伤患者分为经鼻肠管肠内营养75例和经鼻胃管肠内营养75例,在入院0 d、3 d、7 d、14 d定期检查和评估患者肺炎发生情况,统计比较两种不同方式下吸入性肺炎的发生率。结果经鼻胃管肠内营养14 d肺炎累计发生率高于鼻肠管肠内营养的肺炎发生率(P<0.05),但7 d前,两者肺炎累计发生率无显著差异(P>0.05)。结论随着卧床时间的延长,经鼻肠管肠内营养有助于降低重型颅脑损伤患者的吸入性肺炎的发生率,提高患者的生活质量。Objective Discussion on the incidence of aspiration pneumonia in different feeding way of nasogastric enteral nutrition about severe traumatic brain injury patients. Methods The 75 cases of nasal intestinal enteral nutrition and 75 cases of nasogastric enteral nutrition,inspected and evaluated the incidence of aspiration pneumonia during 0,1,3,7,14 days,and compared the incidence of aspiration pneumonia between two groups. Results The incidence of aspiration pneumonia of nasogastric enteral nutrition was higher than nasal intestinal enteral nutrition during 14 days（P 0.05）,but there was no significant difference in the incidence of aspiration pneumonia between two groups before 7 days（P 0.05）. Conclusion With the extension of the time in bed, nasal intestinal enteral nutrition contribute to reduce the incidence of aspiration pneumonia and improve quality life of severe traumatic brain injury patients.

关 键 词：重型颅脑损伤 肠内营养 吸入性肺炎 

分 类 号：R651.1[医药卫生—外科学]