护理研究
護理研究
호리연구
NURSING RESEARCH
2015年
18期
2205-2208
,共4页
重型颅脑损伤%亚甲蓝排泄试验%鼻饲%营养支持
重型顱腦損傷%亞甲藍排洩試驗%鼻飼%營養支持
중형로뇌손상%아갑람배설시험%비사%영양지지
severe craniocerebral injury%methylene blue excretion test%nasal feeding%nutrition support
[目的]探讨亚甲蓝排泄试验在确定重型颅脑损伤病人鼻饲量及鼻饲速度中的应用效果。[方法]选取我科收治的260例重型颅脑损伤病人为研究对象，并分为试验组和对照组，试验组于受伤第3天、第8天、第15天予以亚甲蓝排泄试验，根据病人尿液变蓝的时间确定实施营养支持的方式、鼻饲量及鼻饲速度；对照组常规先采用肠内营养支持治疗，后根据胃潴留量确定鼻饲量和鼻饲速度，比较两组并发症发生情况、胃潴留发生情况、体重、血清清蛋白及血红蛋白结果及临床疗效。[结果]试验组并发症和胃潴留发生率低于对照组，体重、血清白蛋白及血红蛋白值和临床疗效高于对照组，差异有统计学意义(P <0.05)。[结论]根据亚甲蓝排泄试验来确定重型颅脑损伤病人营养支持方式、鼻饲量及鼻饲速度，对给病人提供合理的营养支持方式、减少胃潴留等并发症的发生就及改善预后有重要的临床价值。
[目的]探討亞甲藍排洩試驗在確定重型顱腦損傷病人鼻飼量及鼻飼速度中的應用效果。[方法]選取我科收治的260例重型顱腦損傷病人為研究對象，併分為試驗組和對照組，試驗組于受傷第3天、第8天、第15天予以亞甲藍排洩試驗，根據病人尿液變藍的時間確定實施營養支持的方式、鼻飼量及鼻飼速度；對照組常規先採用腸內營養支持治療，後根據胃潴留量確定鼻飼量和鼻飼速度，比較兩組併髮癥髮生情況、胃潴留髮生情況、體重、血清清蛋白及血紅蛋白結果及臨床療效。[結果]試驗組併髮癥和胃潴留髮生率低于對照組，體重、血清白蛋白及血紅蛋白值和臨床療效高于對照組，差異有統計學意義(P <0.05)。[結論]根據亞甲藍排洩試驗來確定重型顱腦損傷病人營養支持方式、鼻飼量及鼻飼速度，對給病人提供閤理的營養支持方式、減少胃潴留等併髮癥的髮生就及改善預後有重要的臨床價值。
[목적]탐토아갑람배설시험재학정중형로뇌손상병인비사량급비사속도중적응용효과。[방법]선취아과수치적260례중형로뇌손상병인위연구대상，병분위시험조화대조조，시험조우수상제3천、제8천、제15천여이아갑람배설시험，근거병인뇨액변람적시간학정실시영양지지적방식、비사량급비사속도；대조조상규선채용장내영양지지치료，후근거위저류량학정비사량화비사속도，비교량조병발증발생정황、위저류발생정황、체중、혈청청단백급혈홍단백결과급림상료효。[결과]시험조병발증화위저류발생솔저우대조조，체중、혈청백단백급혈홍단백치화림상료효고우대조조，차이유통계학의의(P <0.05)。[결론]근거아갑람배설시험래학정중형로뇌손상병인영양지지방식、비사량급비사속도，대급병인제공합리적영양지지방식、감소위저류등병발증적발생취급개선예후유중요적림상개치。
Objective:To probe into the application effect of methylene blue excretion test in determination of na-sal feeding amount and speed of severe craniocerebral injury patients.Methods:A total of 260 cases of severe craniocerebral injury patients were selected as the research objects.They were divided into test group and con-trol group.Patients in test group were given the methylene blue excretion test on the third day,the 8th day,the 15th day after injury.test then according to the blue change time of patients’urine to determine the implementa-tion method,nasal feeding amount and feeding speed of nutritional support.Patients in control group received the enteral nutrition support therapy,to determine the nasal feeding amount and speed according to the volume of gastric retention.And the occurrence of complications and gastric retention,body weight,serum albumin and hemoglobin levels and clinical efficacy were compared between both groups.Results:The incidence of complica-tions and gastric retention in test group was lower than that in control group.The body weight,serum albumin and hemoglobin values and clinical efficacy were higher than that in control group.There was statistically signif-icant difference between them (P < 0.05 ).Conclusion:It has important clinical value to determine nutritional support method,nasal feeding amount and speed for severe craniocerebral injury patients on the basis of the methylene blue excretion test for providing reasonable nutritional support mode,reducing the occurrence of complications such as gastric retention and improving prognosis of patients.
