鼻空肠管与鼻胃管肠内营养支持在急诊ICU机械通气患者中的应用效果对比

Comparison on the Application Effects of Nasojejunal Tube and Nasogastric Tube for Enteral Nutrition Suppor gency ICU Patients with Mechanical Ventilation

目的对比鼻空肠管与鼻胃管肠内营养支持在急诊ICU机械通气患者中的应用效果。方法70例急诊ICU机械通气患者随机分为两组。对照组留置鼻胃管进行肠内营养支持,观察组留置鼻空肠管进行肠内营养支持。比较两组的营养状况和并发症。结果观察组的达目标喂养量所需时间短于对照组(P<0.05)。干预后,观察组的HB、PAB和ALB水平均高于对照组(P<0.05)。观察组的胃肠道并发症总发生率为5.71%,低于对照组的28.57%(P<0.05)。结论与鼻胃管肠内营养支持相比,鼻空肠管肠内营养支持能够快速改善急诊ICU机械通气患者的营养状况,减少胃肠道并发症的发生。

Objective To compare the application effects of nasojejunal tube and nasogastric tube for enteral nutrition support in emergency ICU patients with mechanical ventilation.Methods 70 cases of emergency ICU patients with mechanical ventilation were randomly divided into two groups.The control group was given enteral nutrition support by indwelling nasogastric tube,and the observation group was given enteral nutrition support by indwelling nasojejunal tube.The nutritional status and complication were compared between the two groups.Results The time required to reach the target feeding amount in the observation group was shorter than that in the control group(P<0.05).After intervention,the levels of HB,PAB and ALB in the observation group were higher than those in the control group(P<0.05).The total incidence of gastrointestinal complications in the observation group was 5.71%,lower than 28.57%in the control group(P<0.05).Conclusions Compared with nasogastric tube for enteral nutrition support,nasojejunal tube for enteral nutrition support can improve the nutritional status of emergency ICU patients with mechanical ventilation quickly and reduce the occurrence of gastrointestinal complications.