床旁盲插鼻肠管在重症患者肠内营养中的应用效果观察

Clinical efficacy observation on bedside blind placement of nasal-intestinal tube in enteral nutrition for critical patients

摘要: 目的：探讨床旁盲插鼻肠管在重症患者肠内营养应用中的效果。方法：选取重症患者40例，其中床旁盲插鼻肠管组20例，鼻胃管组20例。观察2组腹胀、腹泻、呕吐、误吸、呃逆并发症的发生情况。结果：鼻肠管组腹胀、腹泻、呕吐并发症发生率均低于鼻胃管组（P < 0.05），误吸、呃逆发生率2组差异均无统计学意义（P > 0.05）。结论：床旁盲插鼻肠管较传统的鼻胃管可以有效减少重症患者肠内营养并发症的发生。

Abstract: Objective: To evaluate the use of bedside blind placement of nasal-intestinal tube in enteral nutrition for critical patients.Methods: 40 critical patients were selected and divided into the blind placement of nasal-intestinal tube group(n=20) and nasogastric tube group(n=20).The occurrence of abdominal distension,diarrhea,vomiting,aspiration and hiccup complications was observed.Results: The incidence rates of abdominal distension,diarrhea,vomiting complications in nasal-intestinal tube group were lower than those of nasogastric tube group(P < 0.05).The incidence rates of aspiration and hiccup had no significant difference in both groups(P > 0.05).Conclusions: Compared with the traditional nasogastric tube,bedside blind placement of nasal-intestinal tube in enteral nutrition for critical patients can reduce the incidence of complications.