鼻空肠管与鼻胃管在重症肺炎患者中的应用效果分析

目的 通过对鼻空肠管和鼻胃管两种肠内营养途径在肺部感染患者中使用效果对比,探索在临床护理中更为安全、优质的肠内营养方式.方法 采取回顾性研究方案,分析36例留置鼻空肠管重症肺炎患者和40例留置鼻胃管重症肺炎患者在置管7天后白细胞(WBC)、中性粒细胞比率(NE％)、血清降钙素原值(PCT)和痰液pH值变化情况.结果 两组患者在置管l天后WBC、NE％、PCT和痰液pH值均无统计学差异,在置管7天后鼻空肠管组WBC、NE％、PCT均明显低于鼻胃管组(P＜0.05),痰液pH值明显高于鼻胃管组(P＜0.05).结论 在肺部重症感染的患者中,鼻空肠管可减少腹胀及胃食管反流,降低误吸风险,有利于肺部感染的控制和治疗.

The application effect of nasal jejunal tube and nasogastric tube in severe pneumonia patients

Objective By comparing the application effect of two kinds of enteral nutrition pathway (nasal jejunal tube and nasogastric tube) in patients with pulmonary infection,to choose effective,high quality enteral nutrition pathway for clinical nursing.Method Retrospectively analyzed the changes of white blood cells (WBC),neutrophil ratio (NE％),serum proclacitonin (PCT),and sputum pH 7 days after indwelling catheter in 36 cases of severe pneumonia indwelling nasal jejunal tube and 40 cases of severe pneumonia indwelling nasogastric tube.Results There were no statistically significant differences in the levels of WBC,NE％,PCT,sputum pH between two groups 1 day after indwelling catheter.7 days after indwelling catheter,the levels of WBC,NE％,PCT in nasal jejunal tube group were significantly lower than those in nasogastric tube group,sputum pH value was higher (P＜0.05).Conclusions In patients with severe pulmonary infection,nasal jejunal tube can reduce abdominal distention and gastroesophageal reflux,the risk of aspiration,which is conducive to control and treatment of pulmonary infection.