不同间隔时间脉冲式冲管对重型颅脑损伤患者长期留置鼻胃管持续输入肠内营养液的效果  

作　　者：唐传雯 

机构地区：[1]南京市中西医结合医院重症监护室,210014

出　　处：《现代消化及介入诊疗》2018年第A02期153-154,共2页Modern Interventional Diagnosis and Treatment in Gastroenterology

摘　　要：目的:探讨不同间隔时间脉冲式冲管对重型颅脑损伤患者长期留置鼻胃管持续输入肠内营养液的效果,为肠内营养护理提供参考。方法:选取2016年1月~2018年1月于我院住院治疗的重型颅脑损伤患者210例为研究对象,随机分为A、B、C三组,每组70例。所有患者均采取鼻胃管持续输入肠内营养维持治疗并行脉冲式冲管处理,其中A组每4h冲管1次,B组每8h冲管1次,C组则每12h冲管一次。比较不同间隔时间冲管患者鼻胃管通畅情况及治疗过程中并发症发生情况,并作统计学分析。结果:A组患者鼻胃管通畅率(91.43%)明显高于B组和C组,且A组患者鼻胃管完全堵塞率(1.43%)显著低于B组和C组,差异有统计学意义(P<0.05)。三组患者均出现不同程度的腹泻、营养物返流、胃潴留、消化道出血和吸入性肺炎等并发症,而A组患者肠内营养过程中总的并发症发生率(12.86%)显著低于B组和C组,差异有统计学意义(P<0.05)。结论:给予每4h一次的脉冲式冲管护理可显著改善重型颅脑损伤患者长期留置鼻胃管堵塞情况,降低并发症发生率,值得临床推广使用。Objective To explore the Effect of different interval pulse tube on continuous infusion of enteral nutrition liquid in long term indwelling nasogastric tube in patients with severe craniocerebral injury,and to provide reference for enteral nutrition nursing.Methods 210 patients with severe craniocerebral injury admitted to our hospital from January 2016 to January 2018 were selected and randomly divided into three groups,A,B and C,70 cases in each group.All patients were made continuous input of nasogastric tube into enteral nutrition maintenance treatment and pulse tube treatment,of which group A was 1 times per 4h,1 times per 8h in group B,and 1 times per 12h in C group.The patency of nasogastric tube and the incidence of complications during the treatment were compared and analyzed statistically.Results The rate of nasogastric tube patency(91.43%)in group A was significantly higher than that in group B and group C,and the total blockage rate of nasal gastric tube(1.43%)in group A was significantly lower than that in group B and C group,and the difference was statistically significant(P<0.05).The three groups of patients all had different degrees of diarrhea,reflux of nutrients,gastric retention,gastrointestinal bleeding and inhalation pneumonia,and the incidence of total complications(12.86%)in the A group was significantly lower than that in the B group and the C group,with a statistically significant difference(P<0.05).Conclusion It can significantly improve the chronic obstruction of nasal gastric tube in patients with severe craniocerebral injury and reduce the incidence of complications,which is worthy of clinical application.

关 键 词：重型颅脑损伤 不同间隔时间 鼻胃管 肠内营养 冲管 

分 类 号：R651.15[医药卫生—外科学]