摘要
目的比较机械通气清醒患者用持续管饲法和间歇管饲法给予肠内营养致胃肠道反应的差异,寻求更为科学合理的管饲方式。方法将108例经口气管插管机械通气患者随机分为实验组(间歇管饲组58例)和对照组(持续管饲组50例),比较这两种管饲方式引起的呕吐、返流、腹胀、腹泻的发生情况以及病人的饥饿感。资料用χ2检验进行统计分析。结果实验组中呕吐、返流和腹泻发生率及饥饿感均显著低于对照组(P<0.05)。结论对机械通气的清醒患者进行肠内营养支持时,宜采用间歇管饲法,它能减少病人的胃肠道不良反应,更合乎病人的生理需要。
Objective To compare tube feeding, continuous tube feeding and interval tube feeding for awake patients with mechanical ventilation. Method 108 patients with mechanical ventilation by oral trachea cannula were randomly divided into trial group （interval tube feeding, 58 cases） and control group （continuous tube feeding, 50cases）. The occurrence of gastrointestinal reaction of two groups was explored, such as vomiting, backstreaming, abdominal distention, diarrhea and sense of hunger. Result The occurrence rate of vomiting, backstreaming, diarrhea and sense of hunger in trial group were significantly lower than that of control group （P〈0.05）. Conclusion Interval tube feeding of inner intestinal nutrition may be useful for awake patients with mechanical ventilation because of its lower occurrence rate of gastrointestinal disorder.
出处
《西部医学》
2010年第4期649-650,共2页
Medical Journal of West China
关键词
机械通气
管饲方式
肠内营养
胃肠道反应
Mechanical ventilation
Tube feeding
Inner intestinal nutrition
Gastrointestinal reaction
