改良肠内营养护理对危重病人误吸发生率的影响分析  

Analysis of influence of improved enteral nutrition care on incidence of aspiration in critically ill patients

作　　者：彭海菁 李杰[1] 刘文华[1] 王凌莉[1] 

机构地区：[1]广东省深圳市福田区人民医院

出　　处：《全科护理》2015年第33期3342-3344,共3页Chinese General Practice Nursing

摘　　要：[目的]分析改良肠内营养护理对危重病人误吸发生率的影响。[方法]选择2012年4月—2015年4月在我院接受住院治疗的危重病人136例进行研究,将2014年1月前的68例病人纳入对照组(给予常规肠内营养护理),另外68例病人纳入观察组(给予改良肠内营养护理),对比两组病人护理后的误吸发生率、胃肠营养相关并发症、护理前后的营养指标水平。[结果]观察组的误吸发生率2.94%,显著少于对照组的16.18%,差异有统计学意义(P<0.05)。观察组护理后胃肠营养相关并发症的发生率为8.82%,显著少于对照组的22.06%,差异有统计学意义(P<0.05)。两组护理后观察组的血清总蛋白、白蛋白、球蛋白以及血红蛋白的水平均分别显著高于对照组,差异有统计学意义(P<0.05)。[结论]对危重病人应用改良肠内营养护理措施,可有效减少误吸的发生率,降低胃肠营养相关并发症的发生,且能较好地改善病人的营养状态。Objective：To analyze the influence of improved enteral nutrition care on the incidence of aspiration in critically ill patients.Methods：A total of 136 critically ill patients were investigated who were treated in our hospital from April 2012 to April 2015,68 patients before January 2014 were included in control group（treated with conventional enteral nutrition care）,and another 68 patients were included in observation group（given improved enteral nutrition care）,and to compare the incidence of aspiration,the gastrointestinal nutrition related complications,and the level of nutritional indexes before and after nursing between both groups.Results：The incidence of aspiration in observation group was 2.94%,significantly less than 16.18%in control group（P0.05）.The incidence of gastrointestinal nutrition related complications in observation group was 8.82%,significantly less than 22.06%in control group（P0.05）.The serum total protein,albumin,globulin and hemoglobin levels in observation group were significantly higher than that in control group after nursing,the difference was statistically significant（P0.05）.Conclusion：The application of improved enteral nutrition care in critically ill patients can effectively reduce the incidence of aspiration,reduce the incidence of gastrointestinal nutrition related complications,and improve the nutritional status of patients.

关 键 词：肠内营养 危重病人 误吸 发生率 影响 

分 类 号：R472.91[医药卫生—护理学]