螺旋型鼻肠管和普通胃管在危重患者中的临床应用与护理比较

目的探讨螺旋型鼻肠管和普通胃管在危重症患者中的临床应用及护理效果。方法将58例患者随机分为两组,每组29例,观察组采用鼻肠管持续静滴供给营养,对照组采用普通胃管间断供给营养,进行效果观察。结果观察组29例患者中,25例均自主置管成功,4例通过纤维胃镜直接将鼻肠管带至十二指肠或空肠,普通胃管按常规操作。鼻肠管组发生并发症2例(6.9%),均为腹泻,给予及时治疗后缓解,普通胃管组发生并发症13例(44.8%)。结论鼻肠管操作及护理简便、管饲保留时间长、并发症少、为有效且经济的方法。

Objective To explore the bowel and ordinary helical tube in critical patients in clinical application and nursing effect. Methods 58 cases were randomly divided into two groups, and 29 cases, using the cluster supply nutrient, continuous static drops in the continuous supply nutrient, gastric tube to observe the result. Results The observation group 29 cases, 25 cases are independent of success, 4 cases through fiber with nasal endoscopy directly to duodenal or jejunal bowel, normal gastric tube routine. An excellent group complication occurred in 2 cases （6.9%）, diarrhea, give timely treatment after gastric tube group, common complications 13 cases （44.8）. Conclusion Nasal bowel operation simple, tube feeding and retention time, fewer complications, the length of the method is effective and economical.