摘要
目的比较ICU患者经鼻空肠管与鼻胃管实施早期肠内营养的临床应用效果,选择一条安全、高效的肠内营养途径。方法将60例需行肠内营养的ICU患者按入住ICU的先后顺序分为A组和B组各30例,A组置入鼻空肠管,B组置入鼻胃管,两组使用滴入方式输入相同的肠内营养剂,记录两组置管后肠内营养开始实施的时间,观察两组在置管7 d内并发症的发生率,包括反流、误吸、腹泻、腹胀、堵管。结果置管后肠内营养开始实施的时间A组比B组提前,置管后在48 h内可以输入营养液的A组有23例(76.7%),B组有9例(30.0%),差异有统计学意义(χ2=15.94,P<0.05);置管7 d内A组并发症的发生率为23.3%,低于B组的56.7%,差异有统计学意义(χ2=6.94,P<0.05)。结论对ICU患者早期肠内营养支持经鼻空肠管途径比经鼻胃管途径更安全、更有效。
Objective To compare the clinical application effect of early-stage enteral nutrition by nasojejunal tube or nasogastric tube on patients in intensive care unit（ICU） in order to select a safe and effective enteral nutrition approach. Methods 60 patients in ICU supported by enteral nutrition were evenly divided into group A and B based on the sequence of admission into ICU.In group A,nasojejunal tube was applied,while in group B,nasogastric tube was placed.The same enteral nutrition with the same dripping method was provided in both groups.Implementation time of enteral nutrition after tube placement in the two groups was recorded.The incidences of complications like reflux,aspiration,abdominal diarrhea,abdominal distension,and tube plugging,etc.within 7 days were observed in both groups. Results After tube placement,implementation time of enteral nutrition in group A was earlier than that in group B.Within 48 hours,nutrient solution after tube placement was successfully dripped in 23 cases（76.7%） in group A and 9 cases（30.0%）in group B,the difference was significant（χ^2=15.94,P〈0.05）.The incidence of complications within 7 days after tube placement was 23.3% in group A and 56.7% in group B,the difference was significant（χ^2=6.94,P〈0.05）. Conclusion For patients in ICU,early-stage enteral nutrition support by nasojejunal tube is safer and more effective in comparison with that by nasogastric tube.
出处
《中国当代医药》
2015年第1期32-33,36,共3页
China Modern Medicine
关键词
鼻空肠管
鼻胃管
ICU
肠内营养
Nasojejunal tube
Nasogastric tube
Intensive care unit（ICU）
Enteral nutrition
