世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
24期
10-10,11
,共2页
重症脑出血%胃肠道功能%胃肠活动
重癥腦齣血%胃腸道功能%胃腸活動
중증뇌출혈%위장도공능%위장활동
Severe cerebral hemorrhage%gastrointestinal function%gastrointestinal motility
目的：探讨重型脑出血患者72小时内胃肠道功能转归变化。方法从我院2014年1月至2015年1月收治的重型脑出血患者中随机性抽取50例作为研究对象，给予患者留置注水实验，记录每次注水了和抽吸残夜量，对于注水后抽取残夜量在注水量一半以下的给予营养补充，并每隔6h进行残夜量抽取，连续72h。结果50例患者胃动力功能恢复时间为(30.82±21.56)h，在观察期前24h有27例患者胃肠动力功能恢复，占54.00%；观察期前有43例患者胃肠动力功能恢复，占86.00%，在72h内胃肠动力功能未恢复患者有7例，其中有6例患者死亡；患者胃动力恢复时间和格拉斯哥昏迷评分呈负相关关系。结论对于重症脑出血患者，给予留置胃管注水和肠内营养补充具有可操作性，可用来监测重症脑出血患者胃动力功能。
目的：探討重型腦齣血患者72小時內胃腸道功能轉歸變化。方法從我院2014年1月至2015年1月收治的重型腦齣血患者中隨機性抽取50例作為研究對象，給予患者留置註水實驗，記錄每次註水瞭和抽吸殘夜量，對于註水後抽取殘夜量在註水量一半以下的給予營養補充，併每隔6h進行殘夜量抽取，連續72h。結果50例患者胃動力功能恢複時間為(30.82±21.56)h，在觀察期前24h有27例患者胃腸動力功能恢複，佔54.00%；觀察期前有43例患者胃腸動力功能恢複，佔86.00%，在72h內胃腸動力功能未恢複患者有7例，其中有6例患者死亡；患者胃動力恢複時間和格拉斯哥昏迷評分呈負相關關繫。結論對于重癥腦齣血患者，給予留置胃管註水和腸內營養補充具有可操作性，可用來鑑測重癥腦齣血患者胃動力功能。
목적：탐토중형뇌출혈환자72소시내위장도공능전귀변화。방법종아원2014년1월지2015년1월수치적중형뇌출혈환자중수궤성추취50례작위연구대상，급여환자류치주수실험，기록매차주수료화추흡잔야량，대우주수후추취잔야량재주수량일반이하적급여영양보충，병매격6h진행잔야량추취，련속72h。결과50례환자위동력공능회복시간위(30.82±21.56)h，재관찰기전24h유27례환자위장동력공능회복，점54.00%；관찰기전유43례환자위장동력공능회복，점86.00%，재72h내위장동력공능미회복환자유7례，기중유6례환자사망；환자위동력회복시간화격랍사가혼미평분정부상관관계。결론대우중증뇌출혈환자，급여류치위관주수화장내영양보충구유가조작성，가용래감측중증뇌출혈환자위동력공능。
Objective: To investigate the patients within 72 hours of gastrointestinal function change prognosis of severe ce-rebral hemorrhage. Methods: From January in our hospital from January 2014 to 2015 from severe cerebral hemorrhage patients were collected for 50 cases as the object of study. All the patients were treated with indwelling injection experiments, each injec-tion and suction residual night volume record, for water extraction residual night in water injection rate less than half give nutri-tional supplements, and every 6h for residual night extraction volume for 72h.Results: 50 cases of gastric motility in patients with functional recovery time (30.82 + 21.56) h, in the observation period of 24 hours of 27 cases of gastrointestinal motility in patients with functional recovery, accounting for 54.00%; before the observation period have 43 cases of gastrointestinal motility in patients with functional recovery, accounting for 86.00%, within 72 hours of gastrointestinal motility function did not recover from 7 cases of patients, including 6 cases of patients died; gastric motility in patients with recovery time and Glasgow coma score was nega-tively correlated.Conclusion:For patients with severe cerebral hemorrhage, giving indwelling gastric tube affusion and enteral nutrition supplement with operation can be used to monitor patients with severe cerebral hemorrhage of gastric motility function.
