神经内科重症患者肠内营养时机与并发症的分析及护理

Analysis and Nursing on the Time of Enteral Nutrition and Complications of Critical Patients in Neurology Department

目的探讨神经内科重症患者肠内营养时机与并发症的分析及护理措施。方法将符合条件的72例重症患者随机分成两组，对照组36例，按传统方法，早期禁食，72h后留置胃管，予肠内营养支持；治疗组36例，按照不同患者的个体差异性，在入院后6-24h，呼吸、循环稳定后，留置胃管，予肠内营养支持。分别对两组患者出现的并发症进行监测，并对监测结果进行统计学处理。结果治疗组出现的并发症较对照组低，两组相比具有统计学意义（P〈0．05）。结论早期肠内营养支持，能减少并发症的发生。

Objective To analyze the time of enteral nutrition and complications of critical patients in neurology department. Methods 72 cases of critical patients were randomly divided into the treatment group （n=36） and control group （n=36）. In the control group, the patients received early feeding and were indwelled gastric tube after 72 hours, then received enteral nutrition support. In the treatment group, the patients were indwelled gastric tube in 6-24 hours after admission and received enteral nutrition support. The occurrence rate of complications was monitored in two groups the results were statistically analyzed. Results The occurrence rate of complication in the treatment group was lower than that in the control group; the difference had statistical significance （P〈0.05）. Conclusion Early enteral nutrition support can reduce the occurrence of complications.