CAJ | 학술논문

目的探讨胃残余量测定对预防脑梗死肠内营养患者吸入性肺炎的作用.方法以2011年3月至2011年8月住院的63例脑梗死伴吞咽困难并留置胃管患者作为对照组,2011年9月至2012年2月住院的73例脑梗死伴吞咽困难并留置胃管患者作为观察组.在常规护理基础上应用胃残余量测定.比较2组吸入性肺炎的发生率、留置胃管时间及住院时间.结果与对照组相比,观察组吸入性肺炎的发生率低(23.3％对比39.7％,P=0.039),留置胃管时间短[(10.88±4.77)d对比(13.05 ±6.54)d,P =0.027]、住院时间短[(16.38±5.08)d对比(18.86 ±4.75)d,P=0.004].结论胃残余量测定可减少脑梗死伴吞咽困难患者吸入性肺炎的发生,缩短留置胃管时间和住院时间.
목적 탐토위잔여량측정대예방뇌경사장내영양환자흡입성폐염적작용.방법 이2011년3월지2011년8월주원적63례뇌경사반탄인곤난병류치위관환자작위대조조,2011년9월지2012년2월주원적73례뇌경사반탄인곤난병류치위관환자작위관찰조.재상규호리기출상응용위잔여량측정.비교2조흡입성폐염적발생솔、류치위관시간급주원시간.결과 여대조조상비,관찰조흡입성폐염적발생솔저(23.3％대비39.7％,P=0.039),류치위관시간단[(10.88±4.77)d대비(13.05 ±6.54)d,P =0.027]、주원시간단[(16.38±5.08)d대비(18.86 ±4.75)d,P=0.004].결론 위잔여량측정가감소뇌경사반탄인곤난환자흡입성폐염적발생,축단류치위관시간화주원시간.
Objective To explore the effects of measurement of gastric residual volume on the prevention from aspiration pneumonia in ischemic stroke patients.Methods A total of 63 cases of ischemic stroke patients with dysphagia and indwelling gastric tube were selected as control group and 76 cases as observation group,who were admitted from March 2011 to August 2011 and from September 2011 to February 2012 respectively.Measurement of gastric residual volume in the basis of routine nursing care in the observation group was adopted.The aspiration pneumonia incidence rate,indwelling time of gastric tube and hospitalization time between the two groups were compared between two groups.Results Compared with the control group,in the observation group the aspiration pneumonia incidence rate was lower (23.3％ vs 39.7％,P =0.039),indwelling time of gastric tube was shorter [(10.88 ±4.77) d vs (13.05 ±6.54) d,P =0.027],hospitalization time was shorter [(16.38 ± 5.08) d vs (18.86 ± 4.75) d,P =0.004].Conclusions The measurement of gastric residual volume can reduce the occurrence of aspiration pneumonia and shorten the indwelling time gastric tube and hospitalization time in ischemic stoke patients with dysphagia.