摘要
目的探讨鼻空肠管营养加鼻胃管减压在重型颅脑损伤并胃瘫中的应用效果。方法将120例重型颅脑损伤并胃瘫患者随机分为两组,各60例。对照组给予鼻空肠管营养方式治疗,观察组给予鼻空肠管营养加鼻胃管减压方式治疗。比较两组一般临床指标、预后及并发症情况。结果治疗后,观察组血红蛋白、血清白蛋白、前白蛋白和体重均高于对照组(P<0.01),腹胀、肺部感染、呕吐、肠源性感染、腹泻及胃内容物反流发生率均低于对照组(P<0.05或P<0.01);观察组治疗有效率高于对照组(P<0.05)。结论对重型颅脑损伤并胃瘫患者采用鼻空肠管营养加鼻胃管减压方式治疗,可有效改善患者营养状态,增强机体抵抗力,降低并发症发生率,明显改善预后。
Objective To evaluate the response of nasojejunal feeding and nasogastric tube decompression applied in severe traumatic brain injury complicated with gastroparesis. Methods One hundred and twenty patients were divided into two group randomly with 60 cases in either group. Patients in the control group were treated with nasojejunal feeding,and those in the observation group were treated with nasojejunal feeding plus nasogastric tube decompression. General clinical outcomes,prognosis and complications of the two groups were compared. Results Compared with the control group,hemoglobin,serum albumin,pre albumin and body mass of patients in the observation group were higher（ P 〈0. 01）,and the rates of pulmonary infection,abdominal distension,vomiting,diarrhea,intestinal infection and gastric contents reflux incidence were lower（ P 〈0. 05 or P 〈0. 01）. The effective rate of the observation group was higher than that of the control group（ P 〈0. 05）. Conclusion Nasojejunal feeding plus nasogastric tube decompression applied in patients with severe traumatic brain injury complicated with gastroparesis can improve nutritional status,reduce susceptibility to infection,complications and improve prognosis.
出处
《白求恩医学杂志》
2015年第5期475-476,共2页
Journal of Bethune Medical Science
关键词
鼻空肠管营养
鼻胃管减压
重型颅脑损伤
胃瘫
Nasojejunal feeding
Nasogastric decompression
Severe traumatic brain injury
Gastroparesis
