不同胃管置入长度对神经内科脑梗死长期鼻饲饮食患者营养改善情况的影响  

Effect of different length of gastric tube on nutritional improvement of patients with cerebral infarction treated with long-term nasogastric tube feeding in department of neurology

作　　者：许宾 XU Bin(Kuandian Manchu Autonomous County Hospital of Traditional Chinese Medicine,Dandong 118200,China)

机构地区：[1]宽甸满族自治县中医院,118200

出　　处：《中国现代药物应用》2022年第2期227-229,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨不同胃管置入长度对神经内科脑梗死长期鼻饲饮食患者营养改善情况的影响。方法103例神经内科脑梗死长期鼻饲饮食患者,根据胃管置入长度不同将患者分为常规组(51例)和加长组(52例)。常规组胃管置入长度为45~55 cm,加长组胃管置入长度55~65 cm,具体置入长度根据患者个人体态进行调整。比较两组患者一次置管成功率、并发症发生率及鼻饲前后营养状态指标。结果加长组患者一次置管成功率92.31%高于常规组的66.67%,并发症发生率7.69%低于常规组的37.25%,差异具有统计学意义(P<0.05)。鼻饲前,两组患者白蛋白、总蛋白、血红蛋白水平比较差异无统计学意义(P>0.05);鼻饲后,两组患者白蛋白、总蛋白、血红蛋白水平均较本组鼻饲前升高,且加长组患者白蛋白(48.76±10.91)g/L、总蛋白(74.16±6.41)g/L、血红蛋白(128.06±9.97)g/L高于常规组的(42.96±12.98)、(70.86±9.73)、(122.18±9.65)g/L,差异具有统计学意义(P<0.05)。结论胃管置入长度在常规置入长度45~55 cm的基础上根据患者个人体态增加约10 cm会提高患者鼻饲治疗的一次置管成功率,减少神经内科脑梗死长期鼻饲饮食患者鼻饲治疗并发症的发生,使患者在得到更明显的营养改善,建议临床首选。Objective To discuss the effect of different length of gastric tube on nutritional improvement of patients with cerebral infarction treated with long-term nasogastric tube feeding in department of neurology.Methods A total of 103 patients with cerebral infarction undergoing long-term nasogastric tube feeding in department of neurology were divided into conventional group(51 patients)and extended group(52 patients)according to the length of gastric tube.The length of gastric tube in the conventional group was 45-55 cm,and that in the extended group was 55-65 cm,which was adjusted according to the patients’individual body posture.The success rate,complication rate and nutritional status indexes before and after nasal feeding were compared between the two groups.Results The success rate of one-time intubation 92.31%of the extended group was higher than 66.67%of the conventional group,and the complication rate 7.69%was lower than 37.25%of the conventional group.All differences were statistically significant(P<0.05).Before nasal feeding,there was no statistically significant difference in albumin,total protein and hemoglobin levels between the two groups(P>0.05).After nasal feeding,the albumin,total protein and hemoglobin levels in both groups were higher than before nasal feeding in this group,and the albumin(48.76±10.91)g/L,total protein(74.16±6.41)g/L and hemoglobin(128.06±9.97)g/L of in the extended group were higher than(42.96±12.98),(70.86±9.73),and(122.18±9.65)g/L in the conventional group.All differences were statistically significant(P<0.05).Conclusion On the basis of the conventional placement length of 45-55 cm,the increase of about 10 cm according to the patient’s personal posture can reduce the success rate of one-time intubation,reduce the complication rates of nasal feeding treatment in patients with cerebral infarction in neurology department,and make the patients get more obvious nutritional improvement.It is recommended to be the first choice in clinical practice.

关 键 词：胃管置入长度 神经内科 脑梗死 鼻饲饮食 

分 类 号：R473.74[医药卫生—护理学]