两种肠内营养喂养方式对危重昏迷患者胃肠道并发症对比研究

目的 观察两种肠内营养喂养方式对危重昏迷患者胃肠道并发症的影响.方法 选择需要肠内营养支持的危重昏迷患者70例,根据喂养方式不同随机分为两组:肠内持续滴注组(试验组)35例,肠内分次人工灌注组(对照组)35例.入院48 h后,使用肠内高营养多聚合剂(能全力)行肠内营养支持治疗,并观察两组患者的胃肠道并发症发生率.结果 喂养方式与胃肠道并发症的发生率有明显的相关性.试验组的胃肠道总并发症发生率为20.00%,明显低于对照组的42.86%,两组比较差异有统计学意义(P＜0.05).结论 肠内持续滴注鼻饲营养喂养方式可明显降低危重昏迷患者胃肠道并发症的发生率.

Compararive study on two feeding ways in coma patients at gastrointestinal tract complications

Objective To observe the influence of two feeding ways m coma patients at gastrointestinal tract complications.Methods Seventy patients were assigned randomly to two groups according to different feeding ways:entogastric continuing infusion (observation group,n=35) and entogastric manualinfusion (control group,n=35) from June 2006 to May 2007,and observed the ratio of gastrointestinal tract complications in two groups.Results Different feeding ways had significantly correlated with the complications of gastrointestinal tract.The ratio of gastrointestinal tract complications in observation group was lower (20.00%)than that in control group (42.86%).There was statistically significant difference in two groups,P＜0.05.Conclusion The ratio of gastrointestinal tract complications could obvious reduce in entogastric nutrition continuing infusion in coma patients.