鼻肠管及鼻胃管的营养干预护理对脑血管意外患者发生吸入性肺炎并发症及睡眠质量的影响

Effects of Nutritional Intervention Nursing of Nasoenteric Tube and Nasogastric Tube on Complications of Aspiration Pneumonia and Sleep Quality in Patients with Cerebrovascular Accident

目的:探讨研究脑血管意外患者用鼻肠管营养干预效果。方法:选取2021年4月至2022年4月厦门大学附属第一医院神经内科收治的脑血管意外患者100例作为研究对象,按照随机数字表法分为对照组和观察组,每组50例。2组患者均予以常规护理,对照组给予常规鼻胃管营养干预,观察组给予鼻肠管营养干预。比较2组患者的吸入性肺炎发生率、睡眠质量评分及营养状况。结果:观察组吸入性肺炎发生率低于对照组,差异有统计学意义(P<0.05);观察组入睡潜伏期、PSQI评分低于对照组,实际睡眠时长高于对照组,差异有统计学意义(P<0.05);观察组血红蛋白(Hb)、血清白蛋白(Alb)、血清总蛋白(TP)均高于对照组,差异有统计学意义(P<0.05)。结论:鼻肠管营养干预护理可降低脑血管意外患者吸入性肺炎发生率,改善患者睡眠质量及营养状况,值得临床推广应用。

Objective:To explore the effects of nutritional intervention of nasenteral and nasogastric tubes on inhalation pneumonia complications and sleep quality in patients with cerebrovascular accidents.Methods:A total of 100 patients with cerebrovascular accidents admitted to the Department of Neurology of the First Affiliated Hospital of Xiamen University from April 2021 to April 2022 were divided into two groups by random number table method,with 50 cases in each group.Both groups provided routine care,the control group provided routine nasogastric tube nutrition intervention and the study group provided nasenteral tube nutrition intervention.The incidence of aspiration pneumonia,sleep quality score,and nutritional status were compared between the two groups.Results:The incidence of aspiration pneumonia was lower than the control group(P<0.05);sleep ency,PSQI score were lower,and actual sleep duration was higher than the control group(P<0.05);hemoglobin(Hb),serum albub(Alb),serum total protein(TP)were higher than the study group(P<0.05).Conclusion:Nutrition intervention care of nasoenteral tube can reduce the incidence of aspiration pneumonia in patients with cerebrovascular accident,improve the sleep quality and nutritional status of patients,which is worthy of clinical application.