数字减影血管造影引导下鼻空肠营养管置入术在重型颅脑损伤患者中的应用效果分析  

Application Effect Analysis of Digital Subtraction Angiography-Guided Naso-jejunal Feeding Tube Placement in Patients with Severe Craniocerebral Injury

作　　者：杨振兴 刘辉 Yang Zhenxing;Liu Hui(Department of Neurosurgery,Nanjing Qixia District Hospital,Nanjing 210015,Jiangsu Province,China)

机构地区：[1]南京市栖霞区医院神经外科,江苏南京210015

出　　处：《中国社区医师》2024年第7期47-49,共3页Chinese Community Doctors

摘　　要：目的:探讨数字减影血管造影引导下鼻空肠营养管置入术在重型颅脑损伤患者中的应用效果。方法:选取2020年7月—2022年11月南京市栖霞区医院收治的需行肠内营养的重型颅脑损伤患者91例作为研究对象,随机分为观察组(n=45)、对照组(n=46)。观察组采用数字减影血管造影引导下鼻空肠营养管置入术行肠内营养,对照组采用床边置入鼻胃管行肠内营养。比较两组昏迷程度、并发症发生情况、死亡率。结果:置管前,两组格拉斯哥昏迷(GCS)评分比较,差异无统计学意义(P>0.05);置管10 d后,两组GCS评分高于置管前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组反流、吸入性肺炎发生率低于对照组,差异有统计学意义(P<0.05);两组腹泻发生率及死亡率比较,差异无统计学意义(P>0.05)。结论:数字减影血管造影引导下鼻空肠营养管置入术在重型颅脑损伤患者中的应用效果较好,能够改善患者昏迷程度,减少并发症,降低死亡率。Objective:To investigate the application effect analysis of digital subtraction angiography-guided naso-jejunal feeding tube placement in patients with severe craniocerebral injury.Methods:A total of 91 patients with severe craniocerebral injury requiring enteral nutrition in Nanjing Qixia District Hospital from July 2020 to November 2022 were selected as the study subjects.The patients were randomly divided into the observation group(n=45)and the control group(n=46).The observation group received enteral nutrition by digital subtraction angiography-guided naso-jejunal feeding tube placement,and the control group received enteral nutrition by bedside nasogastric tube placement.The degree of coma,the incidence of complications and the mortality were compared between the two groups.Results:Before tube placement,there was no significant difference in the Glasgow Coma Scale(GCS)scores between the two groups(P>0.05);On 10 d after tube placement,the GCS scores in the two groups were higher than those before tube placement,and the GCS scores in the observation group were higher than those in the control group,with a statistically significant difference(P<0.05).The incidence of regurgitation and aspiration pneumonia in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of diarrhea and mortality between the two groups(P>0.05).Conclusion:Digital subtraction angiography-guided naso-jejunal feeding tube placement has better application effects in patients with severe craniocerebral injury,and can improve coma degree,reduce the complications and decrease the mortality.

关 键 词：重型颅脑损伤 肠内营养 数字减影血管造影 

分 类 号：R473.5[医药卫生—护理学]