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目的对比分析留置鼻肠管及鼻胃管对脑血管意外患者肠内营养并发症的影响。方法对我院ICU收治重症脑血管意外的120例患者随机分为治疗组及对照组,分别留置鼻肠管及鼻胃管进行早期的肠内营养。观察两组患者肠内营养并发症的发生率。结果鼻肠营养管组在减少发生呕吐、返流、误吸、吸入性肺炎的肠内营养并发症的机率明显优于胃管组(P<0.05),腹泻的并发症无统计学差异。结论鼻肠营养管能改善脑血管意外患者肠内营养的耐受性,减少返流、误吸、吸入性肺炎的并发症,使脑血管意外患者更易达到目标喂养量。
Objective To compare the effects of nasal and nasogastric tube placement on enteral nutritional complications in patients with cerebrovascular accident. Methods 120 cases of severe cerebrovascular accident admitted to ICU of our hospital were randomly divided into treatment group and control group. Nasopharyngeal tube and nasogastric tube were respectively enrolled in enteral nutrition. The incidence of enteral nutrition complications in both groups was observed. Results The patients in the nasogastric feeding tube group had significantly lower chance of enteral nutrition complication than vomiting, reflux, aspiration and aspiration pneumonia (P <0.05). The complication of diarrhea was not statistically different. Conclusions The nasogastric feeding tube can improve the enteral nutrition tolerance in patients with cerebrovascular accident, reduce the complications of reflux, aspiration and aspiration pneumonia, and make it easier for the patients with cerebrovascular accident to reach the target feeding amount.