摘要
目的探讨急性重症脑血管病患者入院后72h内胃动力功能状况的变化。方法采用方便抽样法,选取急性重症脑血管病患者80例,通过对急性重症脑血管病患者进行留置胃管注水试验,记录每次注水量与抽吸残液量。对注水后抽吸残液量小于注入量1/2者起始肠内营养,以后每6h抽吸胃内残留液,连续观察72h。结果 80例患者的胃动力功能恢复时间为(31.94±21.63)h。患者胃动力功能恢复时间与格拉斯哥昏迷评分呈负相关(r=-0.705,P=0.00)。结论留置胃管注水试验与肠内营养衔接良好,具有一定的可操作性,可用于急性重症脑血管病患者的胃动力功能监测。
objective To study the gastric function in patients with severe cerebrovascular disease within 72 h after admission. Methods Eighty patients with severe cerebrovascular disease were included in this study. The patients underwent water injection test through a stomach tube,during which the water volume injected and the residual water pumped at each time were recorded. En- teral nutrition was started in those with their pumped residual water volume less than 50 % of the injected water volume,every 6 h for 72 h. Results The recovery time of gastric function in the 80 patients was （31.94±21.63） h,which was negatively related with the GCS score （r=-0. 705, P=0. 00）. Conclusion Water injection test through a stomach tube is closely related with enteral nutrition and can thus be used in monitoring gastric function in patients with severe cerebrovascu- lar disease.
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2014年第4期401-403,共3页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词
脑血管障碍
脑出血
重症监护
胃肠活动
营养支持
cerebrovascular disorders
cerebral hemorrhage
intensive care
gastrointestinal motili-ty
nutritional support
