不同鼻饲途径肠内营养应用于急性脑卒中患者的比较研究

目的]探讨经鼻肠管肠内营养与经鼻胃管肠内营养两种途径应用于急性脑卒中患者的安全性。方法]某院2009年2月～2011年9月期间共收治急性脑卒中患者120例,均行肠内营养,根据鼻饲途径的不同分为观察组和对照组各60例,观察组采用鼻肠管,对照组采用传统的鼻胃管,观察、记录两组患者胃潴留、呕吐、误吸和反流等并发症的发生情况,并进行比较。结果]观察组并发症(胃潴留、呕吐、误吸和反流)的发生率明显低于对照组,两组比较差异有统计学意义(P﹤0.01)。结论]经鼻肠管肠内营养较传统鼻胃管肠内营养并发症发生率低,安全可靠、营养均衡,有利于患者的早期康复,值得临床推广。

COMPARATIVE STUDY FOR DIFFERENT NASOGASTRIC ENTERAL NUTRITION APPROACHES IN PATIENTS WITH ACUTE STROKE

Objective]To investigate the safety of the two ways of enteral nutrition and intestinal nasal enteral nutrition by nasogastric tube used in patients with acute stroke.Methods]120 patients admitted with acute stroke in our hospital from February 2009 to September 2011 were all took enteral nutrition.According to the nasal pathways,they were divided into the observation group with 60 cases and the control group with 60 patients.The control group took nasal intestine,the control group usd traditional nasogastric tube.The gastric retention,vomiting,aspiration,and reflux and other complications for patients of the the two groups were observed and record,and then compared.Results]The study showed that the complications of the observation group(gastric retention,vomiting,aspiration and reflux)were significantly lower than the control group,the difference was statistically significant(P﹤0.01).Conclusion]The incidence of complications for enteral nutrition by nasogastric tube was low,safe and reliable,and nutritionally balanced as to intestinal nasal enteral nutrition by nasogastric tube.It is beneficial in patients with early rehabilitation,and worthy of promotion in clinical application.