CAJ | 학술논문

目的观察两种肠内营养喂养方式对危重昏迷患者胃肠道并发症的影响.方法选择需要肠内营养支持的危重昏迷患者70例,根据喂养方式不同随机分为两组:肠内持续滴注组(试验组)35例,肠内分次人工灌注组(对照组)35例.入院48 h后,使用肠内高营养多聚合剂(能全力)行肠内营养支持治疗,并观察两组患者的胃肠道并发症发生率.结果喂养方式与胃肠道并发症的发生率有明显的相关性.试验组的胃肠道总并发症发生率为20.00%,明显低于对照组的42.86%,两组比较差异有统计学意义(P＜0.05).结论肠内持续滴注鼻饲营养喂养方式可明显降低危重昏迷患者胃肠道并发症的发生率.
목적 관찰량충장내영양위양방식대위중혼미환자위장도병발증적영향.방법 선택수요장내영양지지적위중혼미환자70례,근거위양방식불동수궤분위량조:장내지속적주조(시험조)35례,장내분차인공관주조(대조조)35례.입원48 h후,사용장내고영양다취합제(능전력)행장내영양지지치료,병관찰량조환자적위장도병발증발생솔.결과 위양방식여위장도병발증적발생솔유명현적상관성.시험조적위장도총병발증발생솔위20.00%,명현저우대조조적42.86%,량조비교차이유통계학의의(P＜0.05).결론 장내지속적주비사영양위양방식가명현강저위중혼미환자위장도병발증적발생솔.
Objective To observe the influence of two feeding ways m coma patients at gastrointestinal tract complications.Methods Seventy patients were assigned randomly to two groups according to different feeding ways:entogastric continuing infusion (observation group,n=35) and entogastric manualinfusion (control group,n=35) from June 2006 to May 2007,and observed the ratio of gastrointestinal tract complications in two groups.Results Different feeding ways had significantly correlated with the complications of gastrointestinal tract.The ratio of gastrointestinal tract complications in observation group was lower (20.00%)than that in control group (42.86%).There was statistically significant difference in two groups,P＜0.05.Conclusion The ratio of gastrointestinal tract complications could obvious reduce in entogastric nutrition continuing infusion in coma patients.