螺旋型鼻肠管与鼻胃管在成人重度颅脑损伤患者中应用效果的比较

Comparison of Efficacy of Spiral Nasointestinal Tube and Nasogastric Tube in Patients with Severe Traumatic Brain Injury

目的比较螺旋型鼻肠管与鼻胃管在成人重度颅脑损伤患者中应用的效果。方法调查并收集我院神经外一科行鼻肠管与鼻胃管给予肠内营养患者,从格拉斯哥昏迷评分、营养改善情况及置管并发症等多个方面评价2种方案。结果 2组患者均在置管后第7天、第15天检测总蛋白、前白蛋白含量,螺旋形鼻肠管组各项指标均高于鼻胃管组;螺旋型鼻肠管组反流率和误吸率均低于鼻胃管组。以上差异均有统计学意义(P<0.05)。结论螺旋型鼻肠管给予肠内营养更能改善重型颅脑损伤患者营养状况,减少并发症,更有利于患者康复。

Objective To compare the effects of nasogastric tube and spiral nasointestinal tube on patients with severe brain injury. Methods Patients receiving enteral nutrition with spiral nasointestinal tube or nasogastric tube were collected and investigated to evaluate the two schemes of enteral nutrition from aspects of coma score,nutrition improvement,and catheter complications and so on. Results Detection of levels of total protein and prealbumin were conducted for all patients at 7 and 15 days after intubation. Each index was higher in the spiral nasointestinal tube group than in the nasogastric tube group. The reflux and aspiration rate was lower in the spiral nasointestinal tube group than in the nasogastric tube group. The differences were significant（P 〈0.05）. Conclusion Using spiral nasointestinal tube to give enteral nutrition in patients with severe brain injury can improve the nutritional status,reduce complications,which is more contributory to the recovery.