摘要
目的比较灌注、泵注和滴注三种不同鼻饲方法在机械通气患者中所致的食物返流发生率 ,以寻求机械通气患者中比较安全的鼻饲方法。方法 6 0例需要行胃肠内营养和机械通气的患者随机行灌注、泵注和滴注法鼻饲 ,三种方法分别为 1 32次、1 35次、4 5次 ,共完成 31 2次。结果灌注、泵注和滴注法鼻饲所致的食物返流发生率分别为 1 5 %、2 .9%、6 % ,其中泵注组食物返流发生率显著低于其它两组 (χ2 =1 5 0 ,P <0 .0 1 )。结论对于机械通气患者实行胃肠内营养时 ,泵注法比灌注法和滴注法安全。
Objective To compare the food reflux rate caused by 3 kinds of nasal feeding methods in patients with mechanical ventilation to seek for the safest feeding method. Method 60 patients who needed gastrointestinal nutrition and mechanical ventilation had received 312 times of differential nasal feeding methods,among them infusion 132 times, pump infusion 135 times and drop 45 times. Results The food reflux rate caused by pump feeding method was significantly inferior to the other two feeding methods ( χ 2=150, P <0.01) ,which demonstrate that the food reflux rate had a marked correlation to the differential feeding methods. Conclusion For those patients who need gastrointestinal nutrition and mechanical ventilation,pump feeding is the safest method among pump,infusion and drop feeding methods.
出处
《护士进修杂志》
北大核心
2004年第5期413-414,共2页
Journal of Nurses Training
