中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
17期
2012-2013
,共2页
吴海峰%张建娟%汤俭芳%刘芳%徐芳%徐卫娟%施婷婷%于爱玉
吳海峰%張建娟%湯儉芳%劉芳%徐芳%徐衛娟%施婷婷%于愛玉
오해봉%장건연%탕검방%류방%서방%서위연%시정정%우애옥
颅脑损伤%胃肠道%功能恢复%治疗结果%住院时间%生大黄
顱腦損傷%胃腸道%功能恢複%治療結果%住院時間%生大黃
로뇌손상%위장도%공능회복%치료결과%주원시간%생대황
Brain injury%Gastrointestinal function%Function recovery%Treatment result%Length of stay%Rhubarb
目的 探讨生大黄鼻饲促进重症颅脑损伤患者消化道功能恢复的疗效与护理.方法 采用前瞻性随机对照研究方法,将80例重症颅脑损伤患者随机分成干预组(n=50)和对照组(n=30).干预组予生大黄鼻饲,每天3次；对照组予鼻饲相同剂量的温开水；两组其他治疗措施相同.比较两组患者肠鸣音恢复时间、排气时间、排便时间、住院ICU时间和腹泻发生率.结果 干预组肠鸣音恢复时间、肛门排气、排便时间、ICU住院天数分别为(35.08±6.22)h,(44.56±5.98)h,(53.74±5.23)h,(11.64±1.49)d,均优于对照组的(61.00±7.67)h,(72.60±5.21)h,(83.53±6.07)h,(21.87±1.73)d,差异均有统计学意义(t分别为-16.50,-21.27,-23.19,-27.86；P＜0.01)；腹泻发生率干预组为10.0％,对照组为6.6％,两组比较差异无统计学意义(x2 =0.27,P＞0.05).结论 应用生大黄鼻饲能够促进重症颅脑损伤患者胃肠道功能恢复,缩短ICU住院时间.
目的 探討生大黃鼻飼促進重癥顱腦損傷患者消化道功能恢複的療效與護理.方法 採用前瞻性隨機對照研究方法,將80例重癥顱腦損傷患者隨機分成榦預組(n=50)和對照組(n=30).榦預組予生大黃鼻飼,每天3次；對照組予鼻飼相同劑量的溫開水；兩組其他治療措施相同.比較兩組患者腸鳴音恢複時間、排氣時間、排便時間、住院ICU時間和腹瀉髮生率.結果 榦預組腸鳴音恢複時間、肛門排氣、排便時間、ICU住院天數分彆為(35.08±6.22)h,(44.56±5.98)h,(53.74±5.23)h,(11.64±1.49)d,均優于對照組的(61.00±7.67)h,(72.60±5.21)h,(83.53±6.07)h,(21.87±1.73)d,差異均有統計學意義(t分彆為-16.50,-21.27,-23.19,-27.86；P＜0.01)；腹瀉髮生率榦預組為10.0％,對照組為6.6％,兩組比較差異無統計學意義(x2 =0.27,P＞0.05).結論 應用生大黃鼻飼能夠促進重癥顱腦損傷患者胃腸道功能恢複,縮短ICU住院時間.
목적 탐토생대황비사촉진중증로뇌손상환자소화도공능회복적료효여호리.방법 채용전첨성수궤대조연구방법,장80례중증로뇌손상환자수궤분성간예조(n=50)화대조조(n=30).간예조여생대황비사,매천3차；대조조여비사상동제량적온개수；량조기타치료조시상동.비교량조환자장명음회복시간、배기시간、배편시간、주원ICU시간화복사발생솔.결과 간예조장명음회복시간、항문배기、배편시간、ICU주원천수분별위(35.08±6.22)h,(44.56±5.98)h,(53.74±5.23)h,(11.64±1.49)d,균우우대조조적(61.00±7.67)h,(72.60±5.21)h,(83.53±6.07)h,(21.87±1.73)d,차이균유통계학의의(t분별위-16.50,-21.27,-23.19,-27.86；P＜0.01)；복사발생솔간예조위10.0％,대조조위6.6％,량조비교차이무통계학의의(x2 =0.27,P＞0.05).결론 응용생대황비사능구촉진중증로뇌손상환자위장도공능회복,축단ICU주원시간.
Objective To discuss the effect of rhubarb in promoting the recovery of gastrointestinal function in patients with severe brain injury and nursing.Methods prospective randomized controlled study was conducted.Totals of 80 patients with severe brain injuries were randomly divided into the intervention group (n =50) and the control group (n =30).The intervention group was given 33mg/kg rhubarb by nasal feeding for three times a day,while the control group was given the same dose of warm water,and other treatment of both groups was the same.Bowel sound recovery time,evacuation time,defecating time,length of stay in ICU,and the incidence of diarrhea were observed and compared between two groups.Results Bowel sound recovery time,evacuation time,defecating time and length of stay in ICU were respectively(35.08±6.22)h,(44.56 ±5.98)h,(53.74 ±5.23)h,(11.64 ± 1.49)d in the intervention group,(61.00 ±7.67) h,(72.60 ±5.21)h,(83.53 ±6.07)h,(21.87 ± 1.73)d in the control group,and the differences were statistically significant (t =-16.50,-21.27,-23.19,-27.86,respectively;P ＜ 0.01).The incidence of diarrhea was 10.0％ in the intervention group and 6.6％ in the control group,and there was no statistically significant difference (x2 =0.27,P ＞ 0.05).Conclusions Application of rhubarb by nasal feeding can promote gastrointestinal function recovery for patients with severe brain injury and shorten their stay in ICU.
