磁振热治疗脑卒中患者肠内营养相关性腹泻的效果

Effect of magnetic resonance heat in the treatment of enteral nutrition-related diarrhea in stroke patients

目的研究磁振热治疗脑卒中患者肠内营养相关性腹泻的效果。方法将56例肠内营养期间出现腹泻的脑卒中患者按照随机数字表法分为对照组和观察组,每组28例,两组患者均给予相同的护理方法,并遵医嘱给予患者胃管内注入蒙脱石散、双歧杆菌。观察组在上述基础上采用磁振热疗法进行治疗。比较两组患者的病程、腹泻情况、舒适度、治疗周期内失禁性皮炎发生情况。结果观察组腹泻治疗的中位病程较对照组明显缩短,差异有统计学意义(P<0.05)。治疗第3~5天,观察组的腹泻评分明显低于对照组,差异有统计学意义(P<0.05)。治疗第5天及治疗后,观察组患者的GCQ评分明显高于对照组,差异具有统计学意义(P<0.05)。经Fisher精确概率法检验,观察组失禁性皮炎的总发生率略低于对照组,但差异不具有统计学意义(P>0.05)。结论采用磁振热治疗脑卒中患者肠内营养相关性腹泻可有效缩短患者腹泻的治疗病程,减轻患者因腹泻产生的不适感,降低失禁性皮炎的发生率,临床应用价值较高,值得推广。

Objective To study the effect of magnetic resonance heat in the treatment of enteral nutrition-related diarrhea in stroke patients.Methods A total of 56 stroke patients with diarrhea during enteral nutrition were divided into control group and observation group according to the random number table method,with 28 cases in each group,and the two groups were given the same nursing method,and the stomach tube was infused with montmorillonite powder and Bifidobacterium.The observation group was treated with magnetic resonance thermotherapy on the basis of the above.The course of disease,diarrhea,comfort and incontinence dermatitis in the treatment cycle were compared between the two groups.Results The middle course of diarrhea treatment in the observation group was significantly shorter than that in the control group,and the difference was statistically significant(P<0.05).The diarrhea score of the observation group were significantly lower than those of the control group from the third day to the fifth day of treatment,and the differences were statistically significant(P<0.05).The GCQ score of the observation group were significantly higher than those of the control group on the 5th day and after treatment,and the differences were statistically significant(P<0.05).The total incidence of incontinence dermatitis in the observation group was slightly lower than that in the control group by Fisher accurate probability method,but the difference was not statistically significant(P>0.05).Conclusion Magnetic resonance heat in the treatment of enteral nutrition-related diarrhea in stroke patients can effectively shorten the treatment course of diarrhea,reduce the discomfort caused by diarrhea and the incidence of incontinence dermatitis,which has higher clinical application value and is worth popularizing.