【摘要】 目的探讨重型脑出血患者72小时内胃肠道功能转归变化。方法从我院2014年1月至2015年1月收治的重型脑出血患者中随机性抽取50例作为研究对象,给予患者留置注水实验,记录每次注水了和抽吸残夜量,对于注水后抽取残夜量在注水量一半以下的给予营养补充,并每隔6h进行残夜量抽取,连续72h。结果 50例患者胃动力功能恢复时间为(30.82±21.56)h,在观察期前24h有27例患者胃肠动力功能恢复,占54.00%;观察期前有43例患者胃肠动力功能恢复,占86.00%,在72h内胃肠动力功能未恢复患者有7例,其中有6例患者死亡;患者胃动力恢复时间和格拉斯哥昏迷评分呈负相关关系。结论对于重症脑出血患者,给予留置胃管注水和肠内营养补充具有可操作性,可用来监测重症脑出血患者胃动力功能。更多还原

【Abstract】 Objective: To investigate the patients within 72 hours of gastrointestinal function change prognosis of severe cerebral hemorrhage. Methods: From January in our hospital from January 2014 to 2015 from severe cerebral hemorrhage patients were collected for 50 cases as the object of study. All the patients were treated with indwelling injection experiments, each injection and suction residual night volume record, for water extraction residual night in water injection rate less than half give nutritional supplements, and every 6h for residual night extraction volume for 72 h. Results: 50 cases of gastric motility in patients with functional recovery time(30.82 + 21.56) h, in the observation period of 24 hours of 27 cases of gastrointestinal motility in patients with functional recovery, accounting for 54.00%; before the observation period have 43 cases of gastrointestinal motility in patients with functional recovery, accounting for 86.00%, within 72 hours of gastrointestinal motility function did not recover from 7 cases of patients, including 6 cases of patients died; gastric motility in patients with recovery time and Glasgow coma score was negatively correlated. Conclusion: For patients with severe cerebral hemorrhage, giving indwelling gastric tube affusion and enteral nutrition supplement with operation can be used to monitor patients with severe cerebral hemorrhage of gastric motility function.更多还原