两种鼻饲法用于重型颅脑损伤急性期肠内营养的并发症比较

目的 比较两种鼻饲法在重型颅脑损伤急性期患者早期肠内营养中并发症的发生情况,以提供更好的护理措施.方法 采用随机数字表将满足入选条件的重型颅脑损伤急性期患者122例分为观察组67例和对照组55例,观察组采用肠内营养泵24 h持续滴注法,对照组采用传统鼻饲法.观察21 d内患者胃肠道并发症和高血糖、吸入性肺炎等并发症的发生情况.结果 观察组胃肠道并发症发生率低于对照组,差异有显著性(P＜0.05).结论 持续滴注鼻饲营养液能使重型颅脑损伤急性期患者顺利实施早期肠内营养,明显减少并发症的发生率.

Observation on complications of two nasal feeding methods in early enteral nutrional treatment for critical brain injury patients during acute stage

Objective To observe complications of two nasal feeding methods in early enteral nutritional treatment for critical brain injury patients during acute stage in order to deliver better nursing care.Method 122 brain injured patients who were meet the criteria were randomly divided into two groups.67 patients in observation group were givin nutrition solution with pump 24 hours continually,while patients in the control group received routine nasal-gastric feeding. Within 21 days,gastric complications,hyper glycemia,aspiration pneumonia and relative complications were determined.Result The observation group's complications were less than control group's(p<0.05).Conclusion A continuance of drip-feeding is propitious to implement early enteral nutritional treatment for the critical brain injury patients and reduce the complication.