鼻饲饮食应用于整形外科术后禁食病人的临床分析

Analysis of application of nasal feeding in fasting patients after plastic operations

目的:观察鼻饲饮食法和传统单纯静脉补液法在整形外科术后禁食病人的应用效果。方法:选择临床资料差异无显著性的患者87例,分为两组,鼻饲饮食法和传统单纯静脉补液法,分别为42例和45例。比较2组患者术后10天内平均每日住院费、体重变化、皮片成活情况和消化道出血、肺内感染、低蛋白血症、水电解质紊乱等并发症的发生情况。结果:鼻饲饮食法每日住院费用低于传统法(P<0.01),体重变化优于传统法(P<0.01),并发症发生率低于传统法(P<0.01),两组的皮片成活情况无差异(P>0.05)。结论:鼻饲饮食法应用于整形外科术后禁食病人是一种较好的临床治疗方法。它操作简便,损伤小,并发症少,住院费用降低,病人满意,营造了和谐的医患环境。

Objective To observe the effect of applications of nasal feeding and traditional intravenous infusion in fasting patients after plastic operations. Methods 87 patients were selected and divided into tow groups： 42 patients in group 1 received nasal feeding and 45 patients in group 2 received intravenous infusion, there were no significant differences in clinical properties between two groups. Hospitalizing expense, weight change, complication rate（including gastrointestinal hemorrhage, pulmonary infection, hypoproteinemia, disturbances of body water and electrolyte metabolism）, survive rate of skin graft were compared. Results Significant differences were founded in hospitalizing expense, weight change, complication rate, but there was no significant differences in survive rate of skin graft between two groups. Conclusion Nasal feeding is a convenient and less-invasive treatment for the fasting patients after plastic operations. It can reduce the hospitalizing expense and complication rate.