摘要
目的：比较经鼻胃管置管肠内营养支持与经皮胃造瘘肠内营养支持对长期昏迷患者预防肺部感染效果的差异。方法：将46例长期昏迷患者随机分为置管组及造瘘组，置管组行经鼻胃管置管肠内营养支持，造瘘组行经皮胃造瘘肠内营养支持，比较两组在气道护理、肺部感染发生率的差异。结果：置管组的胃液返流、日吸痰次数、肺部感染的发生情况均多于造瘘组（P〈0．01）。结论：在相同的肺部护理措施下，经皮胃造瘘肠内营养支持在患者气道保护方面明显优于经鼻胃管置管肠内营养支持。
Objective： To compare the differences between enteral nutrition support with nasogastric tube and percutaneous gastrosto my preventing pulmonary infection for patients with longterm coma. Methods： 46 patients with longterm coma were randomly di vided into catheter group and fistulation group, catheter group was given enteral nutrition support with nasogastric tube, and fistula tion group with percutaneous gastrostomy, to compare the differences in airway care and incidence of pulmonary infection between two groups. Results： The incidence of gastric regurgitation, daily times of sputum suction, pulmonary infection in catheter group were all higher than those in fistulation group （P〈0.01 ）. Conclusion： With the same intervention of pulmonary nursing, enteral nutri tion support with percutaneous gastrostomy is better than that with nasogastric tube in the matter of airway protection of patients.
出处
《按摩与康复医学》
2013年第5期137-138,共2页
Chinese Manipulation and Rehabilitation Medicine
关键词
肺部感染
肠内营养
昏迷
护理
pulmonary infection
enteral nutrition
coma
nursing
