间歇鼻饲法降低机械通气患者吸入性肺炎发病的临床研究

Clinical effect of intermittent nasal feeding on reducing incidence rates of aspiration pneumonia

目的探讨机械通气患者间歇鼻饲和持续鼻饲与吸入性肺炎的关系。方法将70例机械通气患者随机分为观察组和对照组各35例，观察组输入营养液采用间歇鼻饲，每次鼻饲1h后由护士于腹部顺结肠方向间歇性环形按摩，对照组采用持续鼻饲。结果观察组的呕吐、返流、呛咳、憋闷、腹泻、吸入性肺炎的发生率低于对照组。结论对接受机械通气的患者进行肠内营养支持时，采用间歇鼻饲对减少吸入性肺炎发生明显优于持续鼻饲。

Objective To analyze the effect of treatment of intermittent nasal feeding on reducing incidence rates of aspiration pneumonia. Methods A total of 70 patients with mechanical ventilation were divided randomly into observation group and control group, 35 eases were in each group. Patients in observation group were given nutrition of intermittent nasal feeding with treatment of massage in a clock- wise direction. Absolutely nutrition by nose feeding was given in control group. Results Incidence rates of vomiting, gastroesophagea] re- flux, cough, suffocation, diarrhea, aspiration pneumonia in observation were lower than those in control group. Conclusions Treatment of intermittent nasal feeding with treatment of massage may reduce incidence rate of aspiration pneumonia.