长期鼻饲匀浆膳食的老年患者单次鼻饲量和鼻饲间隔时间的观察

Clinical Observation on Single Quantity and Interval Time of Naso-feeding of Elderly Patients with Long-period Naso-feeding Homogenate Diet

目的:探讨长期鼻饲匀浆膳食的老年患者单次合适的鼻饲量和鼻饲间隔时间。方法住院长期鼻饲自制匀浆饮食的老年患者50例,随机分为A、B2组各25例,在鼻饲置管方法、鼻饲体位、鼻饲液组成、日鼻饲液总量相同的前提下,A组按照护理文献中提到的鼻饲方法(常规方法)进行鼻饲;B组按照改进方法鼻饲,2组均观察30d。结果:2种方法鼻饲后2组患者的营养状况及鼻饲并发症比较均差异无显著性意义;但与常规方法比较,改进鼻饲方法的鼻饲日工作量明显减少,患者消化系统的休息时间明显延长(P<0.001、0.05)。结论:改进鼻饲法的单次鼻饲量和鼻饲间隔时间对长期鼻饲患者更适宜。

Objective： To explore the single quantity and interval time of naso-feeding of elderly patients with longperiod naso-feeding homogenate diet. Methods： Fifty elderly naso-feeding inpatients with long-period self-made homogenate diet were randomly divided into group A （25 cases） receiving conventional treatment 30 days and group B （25 cases） receiving improved treatment for 30 days. The patients in the two groups adopted the same method of inserting gastric ca- nal, the same naso-feeding posture, the same components and daily total quantity of naso-feeding liquids. Results： The nutrition conditions and naso-feeding complications had no significant differences between two groups, but the daily naso- feeding workload in group B was significantly less than that in group A （P〈0. 001,0.05）. Conclusion： The single quantity and interval time of improved naso-feeding methods is more suitable for elderly long-period naso-feeding patients.