CAJ | 학술논문

目的：探讨两种不同的肠内营养方法对重症颅脑疾病患者发生返流误吸风险的差异。方法将84例需行肠内营养的IC U重症颅脑疾病患者随机分成鼻胃管组和鼻肠管组，每组各42例。两组均以鼻饲泵持续泵入肠内营养液进行营养，两组喂养72 h内采集气管插管气囊上分泌物，检测胃蛋白酶含量，判断返流误吸风险。结果鼻胃管组返流的发生率明显高于鼻肠管组，差异有统计学意义（P＜0．05）。结论鼻肠管鼻饲能有效减少因胃内容物返流误吸风险。在条件允许的情况下，早期使用螺旋型鼻肠管，对重症颅脑疾病患者的预后及康复有重要意义。
목적：탐토량충불동적장내영양방법대중증로뇌질병환자발생반류오흡풍험적차이。방법장84례수행장내영양적IC U중증로뇌질병환자수궤분성비위관조화비장관조，매조각42례。량조균이비사빙지속빙입장내영양액진행영양，량조위양72 h내채집기관삽관기낭상분비물，검측위단백매함량，판단반류오흡풍험。결과비위관조반류적발생솔명현고우비장관조，차이유통계학의의（P＜0．05）。결론비장관비사능유효감소인위내용물반류오흡풍험。재조건윤허적정황하，조기사용라선형비장관，대중증로뇌질병환자적예후급강복유중요의의。
Objective To study the risk of reflux and aspiration differences between two different method in en‐teral nutrition for patients with severe brain disease .Method 84 patients with severe brain disease who required en‐teral nutrition were randomly divided into nasogastric tube group and nasal intestinal group .42 patients in each group .Patients in both group were both continous pumped enteral nutrition through two method .endotracheal intu‐bation secretion within 72 hours and test the content of pepsin to determine the risk on reflux and aspiration .Result The incidence of reflux and aspiration in nasogastric tube groups was significant higher than that of the nasal group . The difference was significantly difference(P<0 .05) .Conclusion Feeding by nasal intestinal tube can effectively re‐duce the risk of reflux and aspiration .When condition permit ,the early use of spiral nasal intestinal tube had signifi‐cance on the prognosis and rehabilitation of patients with severe brain disease .