高龄长期鼻饲患者出现胃食管反流的影响因素及护理措施分析  

Analysis of influencing factors and nursing measures of occurrence of gastroesophageal reflux in elderly patients with long-term nasal feeding

作　　者：赵晓云 范兰兰 ZHAO Xiaoyun;FAN Lanlan(People's Hospital of Tongchuan,Tongchuan 727031,China)

机构地区：[1]铜川市人民医院,陕西铜川727031

出　　处：《临床医学研究与实践》2022年第13期7-10,共4页Clinical Research and Practice

摘　　要：目的 分析高龄长期鼻饲患者出现胃食管反流的影响因素及护理措施。方法 回顾性分析2016年1月至2018年12月本院收治的130例高龄长期鼻饲患者的临床资料,根据是否出现胃食管反流将其分为非胃食管反流组(n=55)和胃食管反流组(n=75),分析胃食管反流出现的影响因素及护理措施。结果 胃食管反流组与非胃食管反流组的年龄、体质量指数、糖尿病、吸烟史、胃管插入深度、胃管型号、体位比较,差异具有统计学意义(P<0.05);胃食管反流组与非胃食管反流组的性别、文化程度、饮酒史、机械通气、总喂养量比较,差异无统计学意义(P>0.05)。多因素Logistic回归分析结果显示,年龄、糖尿病、胃管插入深度、胃管型号、体位是导致高龄长期鼻饲患者出现胃食管反流的独立危险因素(P<0.05)。结论 年龄、糖尿病、胃管插入深度、胃管型号、体位均为高龄长期鼻饲患者出现胃食管反流的影响因素,明确这些因素并采取积极的针对性护理措施,有利于防治效果的提升。Objective To analyze the influencing factors and nursing measures of occurrence of gastroesophageal reflux in elderly patients with long-term nasal feeding.Methods The clinical data of 130 elderly patients with long-term nasal feeding admitted in our hospital from January 2016 to December 2018 were retrospectively analyzed.According to the occurrence of gastroesophageal reflux,the patients were divided into non-gastroesophageal reflux group(n = 55) and gastroesophageal reflux group(n=75),and the influencing factors and nursing measures of occurrence of gastroesophageal reflux were analyzed.Results There were statistically significant differences in age,body mass index,diabetes mellitus,smoking history,insertion depth of stomach tube,type of stomach tube and position between the gastroesophageal reflux group and the non-gastroesophageal reflux group(P<0.05);there were no significant differences in gender,education level,drinking history,mechanical ventilation and total feeding amount between the gastroesophageal reflux group and the nongastroesophageal reflux group(P>0.05).Multivariate Logistic regression analysis showed that age,diabetes mellitus,insertion depth of stomach tube,type of stomach tube and position were independent risk factors for occurrence of gastroesophageal reflux in elderly patients with long-term nasal feeding(P<0.05).Conclusion Age,diabetes mellitus,insertion depth of stomach tube,type of stomach tube and position are all the influencing factors of occurrence of gastroesophageal reflux in elderly patients with long-term nasal feeding.To clarify these factors and take positive targeted nursing measures are beneficial to improve the prevention and treatment effect.

关 键 词：高龄患者 鼻饲 胃食管反流 糖尿病 胃管 体位 

分 类 号：R571[医药卫生—消化系统]