重症脑病并发吸入性肺炎病人螺旋形鼻肠管营养治疗的研究

The research of spiral nasointestinal tube nutrition therapy in severe encephalopathy patients with aspiration pneumonia

目的:探讨螺旋形鼻肠管肠内营养(EN)在重症脑病并发吸入性肺炎病人治疗中的意义。方法:回顾性分析40例重症脑病并发吸入性肺炎病人的临床资料。采用螺旋形鼻肠管EN的病人20例为试验组,采用普通胃管EN治疗的病人20例为对照组。结果:两组病人经EN治疗后,营养指标逐渐恢复正常,恶心、呕吐、腹胀、腹泻、胃潴留等并发症的差异无统计学意义。试验组病人抗生素使用时间明显少于对照组,差异有统计学意义(P<0.05)。结论:对重症脑病并发吸入性肺炎的病人,采用螺旋形鼻肠管EN治疗,可有效地改善病人的营养状况,减少并发症,有利于病人的康复。

Objective：To investigate significance of the spiral nasointestinal tube nutrition therapy in severe encephalopathy patients combined with aspiration pneumonia.Methods：The clinical data of 40 patients undergoing severe encephalopathy with aspiration pneumonia were retrospectively analyzed.20 cases treated with spiral nasal bowel tube enteral nutrition were as the experimental group and 20 patients in control group were treated with stomach tube enteral nutrition.Results：After the use of enteral nutrition,the nutrition index gradually returned to normal.Of the two groups,vomiting,abdominal distention,diarrhea and gastric retention complications were not significantly different.The time of antibiotic use in experimental group was obviously less than control group and the difference was statistically significant.Conclusion：The enteral nutrition therapy can effectively improve the nutritional status of patients.For patients suffering severe encephalopathy combined with aspiration pneumonia,the spiral nasointestinal tube nutrition therapy is better.