鼻空肠管与鼻胃管应用在ICU患者中的效果观察.pdfVIP

窑临床研究 窑 中国当代医药 2015年 1月第22卷第 1期 鼻空肠管与鼻胃管应用在ICU患者中的效果观察 梁丽贞 吴月花 广东省肇庆市中医院袁广东肇庆 526040 [摘要] 目的比较ICU患者经鼻空肠管与鼻胃管实施早期肠内营养的临床应用效果袁选择一条安全尧高效的肠内 营养途径遥 方法将60例需行肠内营养的ICU患者按入住ICU的先后顺序分为A组和B组各30例袁A组置入 鼻空肠管袁B组置入鼻胃管袁两组使用滴入方式输入相同的肠内营养剂袁记录两组置管后肠内营养开始实施的时 间袁观察两组在置管7 d 内并发症的发生率袁包括反流尧误吸尧腹泻尧腹胀尧堵管遥 结果 置管后肠内营养开始实施 的时间A组比B组提前袁置管后在48 h 内可以输入营养液的A组有23例渊76.7%冤袁B组有9例渊30.0%冤袁差异有 2 统计学意义渊字=15.94袁P约0.05冤曰置管7 d 内A组并发症的发生率为23.3%袁低于B组的56.7%袁差异有统计学意 2 义渊字=6.94袁P约0.05冤遥 结论对 ICU患者早期肠内营养支持经鼻空肠管途径比经鼻胃管途径更安全尧更有效遥 [关键词] 鼻空肠管曰鼻胃管曰ICU曰肠内营养 [中图分类号] R459.3 [文献标识码]A [文章编号] 1674-4721渊2015冤01渊a冤-0032-03 Effect observation of nasojejunal tube and nasogastric tube applying to patientsinICU LIANG Li-zhen WUYue-hua Traditional ChineseMedicine HospitalofZhaoqing Cityin GuangdongProvince,Zhaoqing 526040,China [Abstract] Objective To compare the clinical application effect of early-stage enteral nutrition by nasojejunal tube or nasogastric tube on patients in intensive care unit (ICU) in order to select a safe and effective enteral nutrition ap鄄 proach. Methods 60 patients in ICU supported by enteral nutrition were evenly divided into group A and B based on the sequence of admission into ICU.In group A,nasojejunal tube was applied,while in group B,nasogastric tube was placed.The same enteral nutrition with the same dripping method was provided in both groups.Implementation time of enteral nutrition aftertube placement inthe two groupswas recorded.The incidencesof complicationslike reflux,aspira鄄 tion,abdominal diarrhea,abdominal distension,andtube plugging,etc.within 7 dayswere observed inboth groups. Results After tube placement,implementation time of enteral nutrition in group A was earlier than that in group