鼻肠管在ICU患者肠内营养中的应用效果  

Application effect of nasointestinal tube in ICU patients with enteral nutrition

作　　者：唐莉[1] 赵先美[1] 

机构地区：[1]中南大学湘雅二医院,湖南长沙412000

出　　处：《中西医结合护理（中英文）》2016年第4期110-112,共3页Journal of Clinical Nursing in Practice

摘　　要：目的观察鼻肠管在ICU患者肠内营养中的应用效果。方法 104例重症患者为研究对象,随机分为对照组和试验组,各52例。对照组采用鼻胃管营养支持,试验组采用鼻肠管营养支持。比较2组患者临床应用效果,包括并发症发生情况,喂养目标时间、呼吸机使用时间和平均住院日。结果试验组反流的发生率显著低于对照组(P<0.05);2组腹泻及堵管的发生率差异无统计学意义(P>0.05);试验组达到喂养目标时间、呼吸机使用时间及住院时间显著短于对照组(P<0.05)。结论鼻肠管为ICU患者肠内营养治疗提供了良好的输注通道,有效减少患者行肠内营养治疗期间并发症,缩短呼吸机使用时间和住院时间。Objective To observe the application effect of nasointestinal tube in ICU patients with enteral nutrition. Methods A total of 104 cases of critical patients were randomly divided into control group and the study group,with 52 cases in each group. The control group was treated with nasogastric tube nutrition support,and the test group was given nasointestinal tube nutrition support. The clinical application effect were compared between the two groups,including implementation of enteral nutrition,occurrence of complications,feeding time,ventilator use time and averaged length of stay.Results The incidence of reflux was significant lower in the study group than that of controls( P <0. 05). There was no significant difference in occurrence of diarrhea and blockage of the tube between two groups( P > 0. 05). The study group had a shorter time in reaching feeding target,ventilator time and length of stay compared whit the control group( P < 0. 05). Conclusion Nasointestinal tube for ICU patients with enteral nutrition therapy provides good infusion channel,effectively reduce the risk of complications and shorten ventilator use time and hospitalization time.

关 键 词：鼻肠管 ICU 护理 肠内营养 

分 类 号：R471[医药卫生—护理学]