老年人脑卒中后昏迷患者单次鼻饲量对吸入性肺炎发生率的影响分析

Analysis of the incidence of aspiration pneumonia in elderly post-stroke coma patients with single naso-feeding quantity

目的探究分析老年人脑卒中后昏迷患者,单次鼻饲量对吸入性肺炎发生率的影响。方法选取我院收治的老年脑卒中患者64例,按患者意愿分为治疗组与对照组,每组患者均为32例,治疗组患者采取少量鼻饲方法,对照组采取常规鼻饲方法,观察两组脑卒中昏迷患者在单次不同的鼻饲量,发生吸入性肺炎的发生率。结果两组患者经不同的鼻饲量治疗后,治疗组肺炎发生率7例(21.86%)较对照组27例(84.38%)少,对照组患者在各项指标中,血清总蛋白、血清白蛋白、血红蛋白、淋巴细胞等指标较治疗组高,且鼻饲后对照组患者并发症较治疗组患者多,P<0.05,具有统计学意义。结论采用较少量单次鼻饲对老年人脑卒中后伴昏迷患者发生吸入性肺炎例数少,对治疗脑卒中伴昏迷患者有积极作用。

Objective To explore the influence of single naso-fceding quantity on the incidence of aspiration pneumonia in elderly post-stroke coma patients. Methods 64 elderly stroke patients, according to their wishes, were divided into the treatment group and the control group evenly. The treatment group was given a small amount of nasal feeding, and the control group was treated with the the con- ventional nasogastric method. The incidence of aspiration pneumonia was observed. Results There were 7 cases of aspiration pneumonia in the treatment group and 27 eases of aspiration pneumonia in the control group. The levels of total serum protein, serum white protein, hemoglobin, and lymphocytes were obviously higher in the control group than in the treatment group （ P 〈 0. 05 ）. Conclusion The low- dose of single nasal feeding can reduce the incidence of aspiration pneumonia in the treatment of elderly patients with cerebral apoplexy complicated with coma.