米曲菌胰酶片在预防老年鼻饲病人留置鼻胃管并发症的疗效观察

Observation on curative effect of Oryz-Aspergillus and Pancreatin tablet in the prevention of complication of indwelling nasogastric tube for senile patients adopt nasogastric feeding

目的探讨老年长期鼻饲病人在鼻饲液中加入米曲菌胰酶片（慷彼申）的疗效。方法将80例采用鼻饲饮食的老年病人随机分为常规方法鼻饲组和鼻饲液中加入米曲菌胰酶片实验组。观察鼻饲期间堵管、误吸、胃潴留、腹胀、腹泻的发生情况。结果实验组堵管发生频率、胃潴留、腹胀、腹泻发生率低于对照组（P〈0．05），两组误吸的发生无统计学意义（P〉0．05）。结论对老年长期鼻饲病人进行肠内营养支持时，采用鼻饲液中加入米曲菌胰酶片（慷彼申）发生鼻胃管堵塞、胃潴留、腹胀发生率低，减轻因反复留置胃肠管和腹胀给病人造成的痛苦，值得在临床老年鼻饲病人中推广。

Objective To explore the curative effect of adding Oryz-Aspergillus and Pancreatin tablet into fluid for senile patients adopt routine nasogastric feeding. Methods Eighty senile patients adopted nasogastric feeding were randomly divided into two groups, the routine nasogastric feeding group （ the control group） and the Oryz-Aspergillus and Pancreatin group （the experiment group）. The incidences of jamming of gastric tube, aspiration, gastric retention, abdominal distention and diarrhea were observed. Results The incidence rates of jamming of gastric tube, gastric retention, abdominal distention and diarrhea in the experiment group were lower than those of the control group （ P 〈 0. 05 ）, but there was no distinct difference in aspiration （P 〉 0.05）. Conclusions Adding Oryz-Aspergillus and Pancreatin into fluid can reduce the incidences of nasogastric tube jamming, gastric retention, abdominal distention for senile patients with perennial nasogastric feeding, thereby lightening the suffering resulted by repeatedly indwelling nasogastric tube and abdominal distention. So it is worthy of being popularized.