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目的分析神经内科重症患者鼻饲前后的护理要点;方法选择我院2013年1月至2015年1月收治的神经内科重症鼻饲患者100例,对其临床护理资料进行回顾性分析;结果全部100例患者中,1例患者因为多器官功能衰竭病死,其他患者的病情均好转出院。18例患者发生并发症,并发症的发生率为18.0%;包括6例呕吐、3例腹泻、3例腹痛、2例高血糖反应、2例肺部感染、2例堵管。并没有发生静脉血栓、穿刺部位感染以及褥疮。通过有效的临床对症处理,全部并发症均得到有效缓解,并没有感染性腹膜炎发生。结论在神经内科重症患者的鼻饲前后,加强科学的护理干预能让并发症发生率有效降低,让患者更快康复。
Objective To analyze the nursing points before and after nasal feeding in severe neurology patients; Methods 100 cases of severe nasal feeding in neurology department admitted from January 2013 to January 2015 in our hospital were retrospectively analyzed. Results All 100 patients In one case, patients died of multiple organ failure and other patients were well discharged. Complications occurred in 18 patients, with a complication rate of 18.0%; including 6 cases of vomiting, 3 cases of diarrhea, 3 cases of abdominal pain, 2 cases of hyperglycemia, 2 cases of lung infection and 2 cases of occlusion. No venous thrombosis, puncture site infection and pressure ulcers occurred. Through effective clinical symptomatic treatment, all the complications have been effectively alleviated, and no infectious peritonitis occurred. Conclusion Before and after nasal feeding in severe neurological patients, strengthening scientific nursing intervention can effectively reduce the incidence of complications and make patients recover faster.