摘要
目的探讨持续泵入匀浆膳食鼻饲法对脑出血患者营养指标及生活活动能力的影响,以期为临床治疗提供参考。方法本研究选取河南省平顶山市第二人民医院2020年4月—2022年5月收治的98例脑出血鼻饲患者作为研究对象。采用随机数字表法,将患者分为研究组与对照组,每组49例。对照组患者采用传统鼻饲营养管理法,研究组患者采用持续泵入匀浆膳食鼻饲法。比较2组患者干预前后(干预14 d时)营养学指标,包括血红蛋白、红细胞、铁蛋白、白蛋白;采用日常生活活动能力量表(ADL)评估患者干预前后(干预14 d时)日常生活能力;比较2组患者鼻饲期间并发症发生情况。结果干预前,2组患者血红蛋白、红细胞、铁蛋白、白蛋白水平比较,差异无统计学意义(P>0.05)。干预后,2组患者血红蛋白、红细胞、铁蛋白、白蛋白水平均高于干预前(P<0.05),但组间比较差异无统计学意义(P>0.05)。干预前,2组患者ADL评分比较,差异无统计学意义(P>0.05)。干预后,2组患者ADL评分均高于干预前,且研究组高于对照组,差异均有统计学意义(P<0.05)。研究组患者鼻饲期间并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论持续泵入匀浆膳食鼻饲法可改善患者营养学指标,提高患者生活活动能力,减少鼻饲期间并发症的发生,值得临床推广应用。
Objective This study aimed to investigate the effect of continuous pumping homogenate diet by nasogastric feeding on nutritional indicators and activities of daily living in patients with cerebral hemorrhage to provide evidence for clinical treatment.Methods Overall,98 nasogastric-feeding patients with cerebral hemorrhage from April 2020 to May 2022 in the Second People's Hospital of Pingdingshan were selected as the study participants.They were allocated to the experimental group and control group by a random number table,with 49 cases for each group.The patients in the control group received conventional nasogastric feeding nutrition management,and the patients in the experimental group continuous pumping homogenate diet by nasogastric feeding.Nutritional indicators(hemoglobin,red blood cells,serum ferritin,and albumin)were compared between the two groups before and after intervention(at 14 days of intervention);activities of daily living(ADL)were assessed before and after intervention(at 14 days of intervention)using the ADL Scale;and complications during nasogastric feeding were compared between the groups.Results Before intervention,no significant difference was observed in hemoglobin,red blood cells,serum ferritin,and albumin levels between the two groups(P>0.05).Hemoglobin,red blood cells,serum ferritin,and albumin levels in the two groups were increased after intervention(P<0.05),but there was no significant difference between the groups(P>0.05).Before intervention,no significant difference was found in ADL scores between the groups(P>0.05).After intervention,the ADL scores of patients in both groups were increased,and the experimental group was higher than the control group,with statistical significance(P<0.05).The incidence rate of complications during nasogastric feeding in the experimental group was significantly lower than that in the control group(P<0.05).Conclusion Continuous pumping homogenate diet by nasogastric feeding can promote the nutritional indicators,raise the ability of patients'life activities,and reduce the occurrence of complications during nasogastric feeding in these patients.These advantages justify a wider clinical application.
作者
田甜
张彩玲
李小静
Tian Tian;Zhang Cailing;Li Xiaojing(Emergency Department,The Second People's Hospital of Pingdingshan,Pingdingshan Henan 467000,China)
出处
《保健医学研究与实践》
2023年第10期117-119,共3页
Health Medicine Research and Practice
关键词
匀浆膳食
鼻饲法
人文关怀
脑出血
营养状况
Homogenate diet
Nasogastric feeding
Humanistic concern
Cerebral hemorrhage
Nutritional status
作者简介
第一作者:田甜,E-mail:hntianlanlan@126.com。
