改良鼻饲插管法在重度颅脑损伤患者中的应用

Modified nasogastric intubation in severe craniocerebral trauma patients

目的探讨改良鼻饲饮食在重型颅脑损伤患者治疗中的应用效果。方法选择重型颅脑损伤术后需置胃管的患者随机分成对照组和试验组各68例,分别采用传统及改良的鼻饲插管法,对比一次性置管成功率及患者舒适度,观察患者鼻饲后的效果。结果采用改良方法,67例患者插胃管一次性成功,且患者插管时痛苦小。结论重型颅脑损伤后通过改良鼻饲插管法,一次性成功率及患者舒适度大幅提高,有效维护和利用了胃肠道正常功能,避免发生营养不良,增强患者的免疫力,减少并发症。

ObjectiveExplore improvements in the treatment of nasal feeding patients with severe traumatic brain injury.MethodsSelect severe traumatic brain injury patients required postoperative gastric tube home patients were randomly divided into control and experimental groups all 68 cases,respectively,using conventional and modified nasogastric intubation,compared to a success rate and patient comfort,observed in patients after nasal effect.Results The modified method,67 patients were disposable cannula using this method is successful and the patient less pain during intubation.ConclusionAfter severe traumatic brain injury through improved nasogastric intubation,a success rate and a substantial increase patient comfort and effective maintenance and use of the normal function of the gastrointestinal tract,prevent malnutrition,and enhance the patient＆#39;s immune system and reduce complications.