危重患者床旁留置鼻空肠营养管效果评价  

Effect evaluation of bedside placement of jejunum feeding tube through nose for critical patients

作　　者：陈珺[1] 潘江霞[1] 何洪英[1] 郑祥德 周文来[1] Chert Jun;Pan Jiangxia;He Hongying;Zheng Xiangde;Zhou Wenlai(Department of Critical Care Medicine,Dazhou Central Hospital,Dazhou 635000,Chin)

机构地区：[1]达州市中心医院重症医学科,四川达州635000

出　　处：《护理学杂志》2018年第14期86-88,共3页Journal of Nursing Science

摘　　要：目的观察床旁安置空肠营养管在危重症患者肠内营养治疗的临床疗效。方法对31例危重症患者行鼻胃管营养(鼻胃管组),对59例危重症患者床旁留置鼻空肠管营养(鼻空肠管组)。结果两组置管成功率、置管时间比较,差异无统计学意义(均P>0.05),干预后两组APACHEⅡ评分、营养指标和腹胀、反流发生率比较,差异有统计学意义(P<0.05,P<0.01)。结论重症患者床旁留置鼻空肠营养管给予营养支持可显著改善患者的营养状况,且并发症发生率低,有助于稳定患者病情,改善预后。Objective To observe the clinical effect of bedside placement of jejunum feeding tube in critical patients.Methods Totally31 critical patients were treated with nasogastric nutrition（the nasogastric tube group）,and another 59 critical patients received bedside placement of nasal jejunal nutrition（the nasal jejunum tube group）.Results There were no significant differences in the success rate of tube placement and indwelling catheter time between the two groups（P〈0.05 for both）.While after the intervention,there were significant differences in the APACHE II scores,nutrition indicators,and the incidence of abdominal bloating and reflux between the two groups（P〈0.05,P〈0.01）.Conclusion Nutritional support by bedside placement of jejunum feeding tube through nose for critical patients can significantly improve patients′nutritional status,and reduce the incidence of complications,then stabilize their disease condition and improve the prognosis.

关 键 词：危重患者 鼻空肠营养管 鼻胃管 床旁留置 营养指标 并发症 

分 类 号：R472.91[医药卫生—护理学]