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[目的]探讨经鼻肠管肠内营养与经鼻胃管肠内营养两种途径应用于急性脑卒中患者的安全性。[方法]某院2009年2月～2011年9月期间共收治急性脑卒中患者120例,均行肠内营养,根据鼻饲途径的不同分为观察组和对照组各60例,观察组采用鼻肠管,对照组采用传统的鼻胃管,观察、记录两组患者胃潴留、呕吐、误吸和反流等并发症的发生情况,并进行比较。[结果]观察组并发症(胃潴留、呕吐、误吸和反流)的发生率明显低于对照组,两组比较差异有统计学意义(P﹤0.01)。[结论]经鼻肠管肠内营养较传统鼻胃管肠内营养并发症发生率低,安全可靠、营养均衡,有利于患者的早期康复,值得临床推广。
[Objective] To investigate the safety of enteral nutrition and nasogastric enteral nutrition in patients with acute stroke. [Methods] A total of 120 patients with acute stroke were treated in a hospital from February 2009 to September 2011. All patients underwent enteral nutrition. According to the route of nasal feeding, 60 cases were divided into observation group and control group. The intestine and control group were treated with traditional nasogastric tube, and the complication of gastric retention, vomiting, aspiration and reflux were observed and recorded. The comparisons were made between the two groups. [Results] The incidence of complications (gastric retention, vomiting, aspiration and reflux) in the observation group was significantly lower than that in the control group, with significant difference between the two groups (P <0.01). [Conclusion] The incidence of enteral nutrition in nasal gut enteral nutrition is lower than traditional nasogastric enteral nutrition complication, safe and reliable, balanced nutrition, which is good for the early rehabilitation of patients and deserves clinical promotion.