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目的:剖析脑卒中患者单次鼻饲量及间隔时间,以为脑卒中临床治疗提供依据。方法:按纳入标准选择2015年2月至2015年6月住院的鼻饲患者33例,通过随机分组法分为实验组1(12人)和实验组2(11人)以及对照组(10人),3组均行鼻饲治疗。其中,对照组行常规鼻饲,7次/d,200 ml/次,q2 h;实验组1和实验组2利用改进方法实施鼻饲。3组鼻饲的体位、速度、日总鼻饲量与鼻饲液的组成成分以及置管方法均具有一致性。观察3组餐后返流、胃潴留、腹胀、腹泻以及便秘等并发症的发生情况。结果:实验组1并发症的发生率为25%,实验组2为45%,对照组为50%,差异具有统计学意义(P<0.05)。结论:鼻饲法单次鼻饲量350和间隔时间为4 h对脑卒中鼻饲者更适宜,并能减少护士和家属的工作量,值得临床上进一步推广应用。
Objective: To analyze the single nasal feeding amount and interval time in stroke patients to provide evidence for the clinical treatment of stroke. Methods: According to the inclusion criteria, 33 cases of nasal feeding patients hospitalized from February 2015 to June 2015 were randomly divided into experimental group 1 (12 persons) and experimental group 2 (11 persons), and control group (10 persons) , Three groups were treated nasal feeding. Among them, the control group routine nasal feeding, 7 times / d, 200 ml / times, q2 h; experimental group 1 and experimental group 2 using improved methods for nasal feeding. The nasal feeding position, speed, daily total nasal feeding amount of the three groups were consistent with those of the nasal feeding liquid and the tube insertion method. The incidence of postoperative reflux, gastric retention, abdominal distension, diarrhea and constipation were observed. Results: The incidence of complications in experimental group 1 was 25%, in experimental group 2 was 45% and in control group was 50%, the difference was statistically significant (P <0.05). Conclusion: Nasal feeding method with a single nasogastric dose of 350 and an interval of 4 h is more suitable for stroke nasal feeding, and can reduce the workload of nurses and their families, which deserves further clinical application.