【摘要】 目的探讨胃管或鼻空肠管肠内营养为主的护理干预在重型颅脑损伤患者护理中的作用,以期为临床工作提供支持。方法收集我院确诊的重型颅脑损伤患者80例,依患者的入院顺序分为两组,观察组共40例,在常规治疗及护理的基础上应用鼻空肠肠内营养;对照组共40例,在常规治疗及护理的基础上应用胃管营养。观察两组的营养状况、并发症的发生率及家属满意度,观察两组的预后情况。结果观察组的死亡率、置管后并发症明显低于对照组,观察组第3天、第7天时血浆蛋白各项指标和家属满意度均明显高于对照组,观察组入监护室的时间明显短于对照组。结论鼻空肠管肠内营养对重型颅脑损伤患者的作用明显,对提高患者生存率及其营养水平有重要价值,临床中可以应用。更多还原

【Abstract】 Objective To observe the curative effect by nasal-jejunum tube enteral nutrition or gastric tube,for accumulating the clinical experience,directing the clinical work.Methods Eighty patients were divided into two groups.The control group(40 cases) were treated by gastric tube,the observation group(40 cases) were treated by nasal-jejunum tube enteral nutrition.We observed the nutritional status,incidence of complication and prognosis.Results The mortality rate and incidence of complication were lower in the observation group than in the control group.The 3th,and 7th day protein content were higher in the observation group than in the control group.The time of monitoring room were shorter in the observation group than in the control group.The satisfied rate were higher in the observation.Conclusion The nursing of nasal-jejunum tube enteral nutrition can increase survival rate,improve the nutritional status,is worthy of being recommended in clinical treatment.更多还原