摘要
目的比较间歇输注鼻饲法和推注鼻饲法对重症患者胃肠内营养并发症的影响。方法将118例经鼻留置胃管的重症患者随机分为2组。试验组59例,采用输液瓶装入温开水或纤维型能全力接输血器间歇(10~16h)滴注鼻饲法;对照组59例,采用注射器推注与试验组相同的营养液进行鼻饲,比较2组鼻饲后胃肠道并发症的发生率。结果试验组的并发症发生率低于对照组(p<0.01),差别有统计学意义。结论间歇输注鼻饲法较推注鼻饲法,可有效地减少胃肠内营养并发症的发生,值得临床推广。
Objective :To compare the effects of the two different ways of nasal feeding on complications in enteral nutrition, which were intermittent nasal feeding and regular nasal feeding. Method: 118 patients with nasogastric tubes were divided into two groups. In the intervention group with 59 patients, hot water or nutrison fibre was fed intermittently (10-16h) by the transfusion system connected with nasogastric tubes. In the control group with 59 patients, the same nutriment as the intervention group was fed by the way of the regular nasal feeding. The complication rate of enteral nutrition was compared between the two groups. Results:The complication rate of enterai nutrition in the intervention group was lower than that of the control group (p〈0.01),which was statistically different. Conclusion: Intermittent nasal feeding could help reduce the complication rate of the enteral nutrition,which should be used widely in clinical nursing.