CAJ | 학술논문

目的：探讨早期肠道干预预防有创机械通气肠内营养（enteral nutrition，EN）患者胃肠功能障碍的效果。方法将60例有创机械通气EN患者随机分为观察组和对照组，每组各30例。对照组患者采用常规护理方法，观察组患者采用早期肠道干预方法，包括腹部按摩、直肠刺激等。比较两组患者EN期间胃肠功能障碍发生情况。结果观察组患者胃肠功能障碍发生率明显低于对照组，两组比较，差异具有统计学意义（P＜0.05）。结论早期肠道干预能有效预防有创机械通气患者EN期间胃肠功能障碍发生。
목적：탐토조기장도간예예방유창궤계통기장내영양（enteral nutrition，EN）환자위장공능장애적효과。방법장60례유창궤계통기EN환자수궤분위관찰조화대조조，매조각30례。대조조환자채용상규호리방법，관찰조환자채용조기장도간예방법，포괄복부안마、직장자격등。비교량조환자EN기간위장공능장애발생정황。결과관찰조환자위장공능장애발생솔명현저우대조조，량조비교，차이구유통계학의의（P＜0.05）。결론조기장도간예능유효예방유창궤계통기환자EN기간위장공능장애발생。
Objective To explore the preventive effect of early bowel intervention on the gastrointestinal dysfunction in patients with invasive mechanical ventilation.Methods Sixty patients with invasive mechanical ventilation were equally randomly divided into the observation group and the control group.patlents in the control group were treated by conventional nursing care,while Patients in the observation group were given the early bowel intervention including abdominal massage and stimulation of rectum.The two groups were compared in terms of gastrointestinal dysfunction.Result The rate of gastrointestinal dysfunction in the observation group was significantly lower than that of the control group(P<0.05).Conclusion The early bowel intervention may effectively promote intestinal peristalsis,protect the intestinal digestion, absorption of nutrients and mucosal barrier function and prevent gastrointestinal dysfunction in patients with invasive mechanical ventilation during enteral nutrition.