摘要
目的:对比间歇推进法插管与螺旋型插管方式对重症颅脑损伤患者实施肠内营养的时效。方法:选取医院收治的120例重症颅脑损伤患者,按照插管方法的不同将其分为观察组和对照组,每组60例。观察组采用间歇推进法插管,对照组采用传统螺旋型插管,对比两组的插管成功率、并发症及肠内营养开始时间。结果:观察组的肠内营养等待时间明显低于对照组,其差异有统计学意义(x^2=94.925,P<0.05);在插管过程中,两组的鼻黏膜轻度出血的发生概率相比,差异无统计学意义;两组均未出现呼吸道异位或消化道穿孔等并发症。观察组48 h插管成功率明显高于对照组,其差异有统计学意义(x^2=40.752,P<0.05)。结论:间歇推进插管法对于重症颅脑损伤患者实施肠内营养的时效性较高,安全有效。
Objective： To compare the timeliness of catheter in interval and screw-type catheters for enteral nutrition of patients with severe craniocerebral injury. Methods： 120 patients with severe craniocerebral injury were divided into observation group and control group as different catheter method. Patients of observation group received catheter in interval and that of control group received screw-type catheter. The success rate of catheterization, complication and beginning time of enteral nutrition between the two groups were compared. Results： The waiting time of observation group was significantly lower than that of control group（x2=94.925, P〈0.05）. During intubation, the difference of incidence of mild bleeding of nasal mucosa between the two groups was no significant. The respiratory tract ectopic or digestive tract perforation and other complications didn＇t appear in the two groups. Besides, the success rate of catheterization in 48 h of observation group was significantly higher than that of control group（x2=40.752, P〈0.05）. Conclusion： The new method has higher timeliness for implementing enteral nutrition of patients with severe craniocerebral injury. And it is safe and effective.
作者
周颖
单学栋
宋红梅
ZHOU Ying,SHAN Xue-dong,SONG Hong-mei(Department of Science and Education, Tangshan City Fengrun District People＇s Hospital, Tangshan 064000, China)
出处
《中国医学装备》
2018年第5期87-89,共3页
China Medical Equipment
关键词
插管方法
重症颅脑损伤
肠内营养
时效
对比
Intubation method
Severe craniocerebral injury
Enteral nutrition
Timeliness
Comparison
作者简介
周颖，女，（1981-），本科学历，主管护师，从事临床护理工作。
