三种肠内进食方法对吸入性肺炎的影响

目的：研究经鼻胃管、鼻空肠管和经口进食三种人工肠内营养方法对吸入性肺炎的影响，为临床工作提供理论依据。方法：纳入118例人工肠内营养患者，其中38例接受鼻胃管进食（A组），34例接受鼻空肠管进食（B组），46例接受经口进食（C组），比较6个月以后三种进食途径患者吸入性肺炎发生率的差异。结果：6个月后经鼻胃管、鼻空肠管及经口三种进食途径吸入性肺炎的发生率分别为76.3%、55.9%、89.1%，差异有统计学意义（P〈0.05）。结论：对于长期需要人工肠内营养的患者，留置鼻空肠管可有效降低吸入性肺炎的发生率。

The Effect of Nasogastric,Nasojejunal and Oral Feeding on Aspiration Pneumonia

Objective： To research the effect of nasogastric,nasojejunal and oral feeding on aspiration pneumonia. Method：A total of 118 patients were enrolled to the study,38 of them accepted nasogastric（A group）,34 preferred nasojejunal（B group）,and 46 preferred oral route（C group）.The differences of incidence of aspiration pneumonia were compared after six months.Result：The incidence of aspiration pneumonia were 76.3%,55.9%,89.1%in nasogastric, nasojejunal,oral groups,respectively.The difference was statistically significant（P〈0.05）.Conclusion：For patients with long-term needs artificial enteral nutrition,nasal jejunal tube can effectively reduce the incidence of aspiration pneumonia.