中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
1期
32-33,36
,共3页
鼻空肠管%鼻胃管%ICU%肠内营养
鼻空腸管%鼻胃管%ICU%腸內營養
비공장관%비위관%ICU%장내영양
Nasojejunal tube%Nasogastric tube%Intensive care unit (ICU)%Enteral nutrition
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，选择一条安全、高效的肠内营养途径。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，A组置入鼻空肠管，B组置入鼻胃管，两组使用滴入方式输入相同的肠内营养剂，记录两组置管后肠内营养开始实施的时间，观察两组在置管7d内并发症的发生率，包括反流、误吸、腹泻、腹胀、堵管。结果置管后肠内营养开始实施的时间A组比B组提前，置管后在48 h内可以输入营养液的A组有23例(76.7%)，B组有9例(30.0%)，差异有统计学意义(χ2=15.94，P<0.05)；置管7 d内A组并发症的发生率为23.3%，低于B组的56.7%，差异有统计学意义(χ2=6.94，P<0.05)。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、更有效。
目的：比較ICU患者經鼻空腸管與鼻胃管實施早期腸內營養的臨床應用效果，選擇一條安全、高效的腸內營養途徑。方法將60例需行腸內營養的ICU患者按入住ICU的先後順序分為A組和B組各30例，A組置入鼻空腸管，B組置入鼻胃管，兩組使用滴入方式輸入相同的腸內營養劑，記錄兩組置管後腸內營養開始實施的時間，觀察兩組在置管7d內併髮癥的髮生率，包括反流、誤吸、腹瀉、腹脹、堵管。結果置管後腸內營養開始實施的時間A組比B組提前，置管後在48 h內可以輸入營養液的A組有23例(76.7%)，B組有9例(30.0%)，差異有統計學意義(χ2=15.94，P<0.05)；置管7 d內A組併髮癥的髮生率為23.3%，低于B組的56.7%，差異有統計學意義(χ2=6.94，P<0.05)。結論對 ICU患者早期腸內營養支持經鼻空腸管途徑比經鼻胃管途徑更安全、更有效。
목적：비교ICU환자경비공장관여비위관실시조기장내영양적림상응용효과，선택일조안전、고효적장내영양도경。방법장60례수행장내영양적ICU환자안입주ICU적선후순서분위A조화B조각30례，A조치입비공장관，B조치입비위관，량조사용적입방식수입상동적장내영양제，기록량조치관후장내영양개시실시적시간，관찰량조재치관7d내병발증적발생솔，포괄반류、오흡、복사、복창、도관。결과치관후장내영양개시실시적시간A조비B조제전，치관후재48 h내가이수입영양액적A조유23례(76.7%)，B조유9례(30.0%)，차이유통계학의의(χ2=15.94，P<0.05)；치관7 d내A조병발증적발생솔위23.3%，저우B조적56.7%，차이유통계학의의(χ2=6.94，P<0.05)。결론대 ICU환자조기장내영양지지경비공장관도경비경비위관도경경안전、경유효。
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-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 after tube placement in the two groups was recorded.The incidences of complications like reflux,aspira-tion,abdominal diarrhea,abdominal distension,and tube plugging,etc.within 7 days were observed in both groups. Results After tube placement,implementation time of enteral nutrition in group A was earlier than that in group B.Within 48 hours,nutrient solution after tube placement was successfully dripped in 23 cases (76.7%) in group A and 9 cases (30.0%) in group B,the difference was significant (χ2=15.94,P<0.05).The incidence of complications within 7 days after tube placement was 23.3% in group A and 56.7% in group B,the difference was significant (χ2=6.94,P<0.05). Conclusion For patients in ICU,early-stage enteral nutrition support by nasojejunal tube is safer and more effective in comparison with that by nasogastric tube.
