盲插法放置螺旋型鼻肠管行肠内营养对重症监护患者护理效果评价.docVIP

精品论文 参考文献 盲插法放置螺旋型鼻肠管行肠内营养对重症监护患者护理效果评价 梁翠娥 　　[摘 要]目的 探讨盲插法放置螺旋型鼻肠管行肠内营养对重症（监护）患者效果，并提出相应护理策略。 方法 120例患者随机1:1分为2组，分别采用传统鼻胃管经胃营养和螺旋型肠鼻管空肠营养，比较两组患者各生化指标变化，并记录并发症发生率。 结果 治疗后，两组患者WBC和APACHE-Ⅱ明显降低，与治疗前相比差异有统计学意义（Plt;0.05），且观察组WBC、APACHE-Ⅱ降低程度高于对照组（Plt;0.05），两组ALB、ALT、ALP和AST与治疗前相比差异均无统计学意义（Pgt;0.05）；观察组胃潴留、胃肠出血、返流、误吸和鼻粘膜损伤发生率均低于对照组，差异有统计学意义（Plt;0.05），腹胀、腹泻和吸入性肺炎发生率与对照组差异无统计学意义（Pgt;0.05）。 结论 螺旋型鼻肠管行空肠营养能够明显改善患者营养状态，减少并发症发生。但应用时应加强护理。 　　[关键词]螺旋型鼻肠管 肠内营养 重症患者 　　DOI:10.3760/cma.j.issn.1672-7088.2014.21.33 　　作者单位：274300，山东菏泽，菏泽市立医院 　　[作者简介]梁翠娥（1975—），女，本科(学士学位)，副主任护士长，主管护士。 　　The Evaluation of Blind Insertion placed Spiral Nasointestinal Tube for Enteral Nutrition in Patients with Severe (care) Disease 　　Liang Cuirsquo;e 　　Abstract: Objective To investigate the efficiency of blind insertion placed spiral nasointestinal tube for enteral nutrition in patients with severe disease, and to put forward corresponding nursing strategy. Methods 120 patients were randomly divided into 2 groups, each with 60 patients. The observation group adopted the spiral nasal tube for enteral nutrition while the control group received traditional nasogastric tube for stomach and intestinal nutrition, and each biochemical indicators between the two groups, and incidence of complications were record and compared. Results After treatment, WBC and APACHE-Ⅱ of two groups decreased obviously, compared with that before treatment, the difference was statistically significant (Plt;0.05), and WBC, APACHE-Ⅱ decrease degree of the observation group were higher than the control group (Plt;0.05); compared with those before treatment, the differences of ALB, ALT, ALP and AST of both the two groups were not statistically significant (Pgt;0.05); gastric retention, gastrointestinal bleeding, reflux, aspiration and nasal mucosa injury rate of the observation group were lower than the control group, the difference was statistically significant (Plt;0.05), compared to those of the control group, the differen