摘要
目的探讨脑出血昏迷患者应用肠内营养支持治疗护理的效果。方法选取108例脑出血昏迷患者为研究对象,采用简单抽样法随机分成A、B两组,每组各54例。B组给予常规护理,A组则予以肠内营养支持护理方案。比对两组患者的并发症发生情况,记录护理干预前后各营养指标的情况。结果 1护理后,A组消化道出血、腹泻、呕吐及高血糖等并发症发生率分别为7.4%、3.7%、3.7%和1.9%,明显低于B组的22.2%、16.7%、33.3%和14.8%(P<0.05);两组在便秘的发生率对比上无统计学差异(P>0.05);2护理后,A组TP、ALB、Hb及TFN等营养指标分别为(63.4±7.2)g/L、(31.4±5.9)g/L、(119.7±20.4)g/L和(2.1±0.3)g/L,均较护理前增加(P<0.05),B组同护理前对比无统计学意义(P>0.05),组间对比差异明显(P<0.05)。结论对脑出血昏迷患者给予肠内营养支持护理方案,临床干预效果显著,值得推广使用。
Objective To explore the effect of enteral nutritional support nursing on patients with cerebral haemorrhage coma.Methods 108 patients with cerebral haemorrhage coma were selected and randomly divided into two groups, with 54 cases in each group.All patients receiced enteral nutritional support. Group B was given routine nursing, while group A was given enteral nutritional support nursing additionally. The complications and nutritive indices before and after nursing were observed and compared between two groups.Results ① The incidences of gastrointestinal bleeding, diarrhea, vomiting and hyperglycemia of group A were 7.4%, 3.7%, 3.7% and 1.9%respectively, significantly lower than 22.2%, 16.7%, 33.3% and 14.8% of group B, respectively（P〈0.05）. There was no statistically significant difference between the two groups in the incidence of constipation（P〉0.05）. ② After nursing, TP, ALB, Hb and TFN of group A were（63.4 ± 7.2） g/L,（31.4 ± 5.9） g/L,（119.7 ± 20.4） g/L and（2.1 ± 0.3） g/L respectively, significantly higher than those before nursing（P〈0.05）, and those of group B after nursing（P〈0.05）, but there was no statistically significant difference before and after nursing in group B（P〉0.05）. Conclusions Enteral nutritional support nursing has significant effect on patients with cerebral haemorrhage coma.
出处
《临床医学工程》
2015年第1期89-90,共2页
Clinical Medicine & Engineering
关键词
脑出血
昏迷
肠内营养支持
护理
Cerebral haemorrhage
Coma
Enteral nutritional support
Nursing
