重力鼻饲喂养对手足口病机械通气患儿呼吸循环功能的影响  

INFLUENCE OF GRAVITY NASOGASTRIC FEEDING ON RESPIRATORY AND CIRCULATION FUNCTION IN THE CHILDREN WITH HAND,FOOT AND MOUTH DISEASE OF MECHANICAL VENTILATION

作　　者：马秀玲[1] 戴秀华[1] 田庆玲[1] 李燕[1] 郭淑慧[1] 

机构地区：[1]河北省唐山市妇幼保健院,063000

出　　处：《中国煤炭工业医学杂志》2016年第5期699-701,共3页Chinese Journal of Coal Industry Medicine

基　　金：唐山市科技支撑计划项目(13130254b)

摘　　要：目的探讨重力鼻饲喂养对手足口病机械通气患儿呼吸循环功能的影响。方法将102例手足口病机械通气患儿随机分为观察组(重力鼻饲喂养组)和对照组(间断鼻饲喂养组)各51例,分别观察从喂养至喂养操作后1min患儿的心率、呼吸频率、血氧饱和度的变化情况及患儿喂养时有无喂养不耐受、消化道出血及呼吸机相关性肺炎的发生。结果观察组患儿心率、呼吸频率、血氧饱和度的变化幅度小,差异有统计学意义(P<0.01);观察组呼吸机相关性肺炎发生率低于对照组,差异有统计学意义(P<0.05);观察组喂养不耐受及消化道出血发生率均低于对照组,差异有统计学意义(P<0.01)。结论重力鼻饲喂养有利于手足口病机械通气患儿喂养时心率、呼吸频率、血氧饱和度的稳定,患儿的喂养不耐受、消化道出血、呼吸机相关性肺炎的发生率低,有利于营养物质的吸收,机械通气并发症的发生率降低,促进患儿康复。Objective To investigate the effects of gravity nasogastric feeding for hand, foot and mouth dis- ease of mechanical ventilation in children with respiratory and circulation function. Methods Totally 102 cases of hand, foot and mouth disease children with mechanical ventilation were randomly divided into observation group （gravity nasogastric feeding group} and control group （intermittent nasogastric feeding group）, were observed from feed to feed operation 1 minute after the patient＇s heart rate （HR）, respiratory （R}, the change of SpO2 and children have no feeding feeding intolerance, gastrointestinal bleeding and the occurrence of ventilator associated pneumonia. Results In the observation group, the incidence of ventila- tor associated pneumonia was lower than the control group, the difference was statistically significant [ P〈0.05） ; Feeding intolerance and the incidence of gastrointestinal bleeding in the observation group were low- er than the control group, the difference was statistically significant （P^0.01 }. Conclusions Gravity na- sogastric feeding is helpful for hand, foot and mouth disease children with mechanical ventilation when feeding the stability of HR, R, SpO2. The incidence of children with feeding intolerance, gastrointestinal bleeding, and ventilator associated pneumonia is lower. It is conducive to the absorption of nutrients, reduce the incidence of mechanical ventilation complications, and promote patients recover.

关 键 词：手足口病 重力鼻饲喂养 机械通气 呼吸功能 循环功能 儿童 

分 类 号：R512.5[医药卫生—内科学]