鼻肠管改善人工气道患者营养状况和长期预后的价值

Abstract
Figure/Table
References (21)
Related Citation (15)

Download: PDF (0 KB) HTML (46 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the value and long-term prognosis of the patients with artificial airways treated with nasoenteric tube combined with nutrient pump infusion.Methods From January 1st,2018 to March 31st,2020,100 patients with artificial airway were selected as subjects.According to the method of random sampling,they were divided into observation group(50 cases)and control group(50 cases).At the observation group,the nasogastric tube was placed by bedside with bare hands,and all of them were located below the X line to reach the pylorus(duodenum or upper jejunum).The patients in control groups were placed into the nasogastric tube.Both groups were treated with nutrition pump and infusion of nutrient solution through feeding tube for 30 days.Serum albumin(ALB),body mass index(BMI),triceps skin fold thickness(TSF),mechanical ventilation duration,incidence of aspiration pneumonia,withdrawal rate,successful tube sealing rate after tracheotomy,and gastrointestinal intolerance were compared between the two groups.Results The ALB,BMI,TSF,withdrawal rate and the successful sealing rate after tracheotomy in the observation group were higher than those in the control group,and the differences were statistically significant(P＜0.05).The duration of mechanical ventilation in observation group was shorter than that in control group,incidence of aspiration pneumonia and gastrointestinal intolerance in the observation group were lower than those in the control group,and the differences were statistically significant(P＜0.05).Conclusion The implantation of bare-handed nasoenteric tube and the infusion of nutrition pump can improve the nutritional status of patients with artificial airway,shorten mechanical ventilation,reduce the incidence of aspiration pneumonia,increase removal rate and seal rate of trachea after,and improve gastrointestinal tolerance,it can improve the long-term prognosis of patients with artificial airway to some extent.

Key words： Artificial airway patients Mechanical ventilation Critical care Nasoenteric tube Nutrition pump infusion Inhalation pneumonia Gastrointestinal intolerance Prognosis

Received: 28 April 2020

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WANGXing-ling KONGXiao-hong HUANGBao-qin ZHONGYou-di

Cite this article:

WANGXing-ling KONGXiao-hong HUANGBao-qin ZHONGYou-di. Value of nasoenteric tube in improving nutritional status and long-term prognosis of patients with artificial airway[J]. 中国当代医药, 2020, 27(24): 22-26.

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I24/22

[1]	郭燕梅，林雁娟，邵菲，等．三种鼻空肠管置管方法在机械通气患者中的应用研究[J]．中华护理杂志，2018，53（5）：558-561.
[2]	许秀娟，张庚，胡马洪.临床营养支持方式对机械通气效果的影响[J].中华危重病急救医学，2018，30（3）：262-265.
[3]	韩悦，冷玉鑫，么改琦.抗菌药物对肠道菌群和肠黏膜屏障功能的影响及机制[J].中华危重病急救医学，2017，20（11）：1047-1051.
[4]	梁立新，吴彦青，郭玉红，等.脓毒症急性胃肠损伤评估的研究进展[J].世界中医药，2017，12（4）：741-745.
[5]	张安平.肠功能障碍进展[J].创伤外科杂志，2015，17（6）：575-578.
[6]	Mc Clave SA，Taylor BE，Martindale R G，et al.Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient：Society of Critical Care Medicine（SCCM）and American Society for Parenteral and Enteral Nutrition（ASP-EN）[J].JPEN，2016，40（2）：159-211．
[7]	李萍，文进，聂玉琴.肠外肠内营养序贯疗法对机械通气重症患者的临床效果[J].中国医药导报，2017，14（14）：107-110.
[8]	Singer P，Blaser AR，Berger MM，et al.ESPEN guideline on clinical nutrition in the intensive care unit[J].Clin Nutr，2019，38（1）：48-79.
[9]	Graf S，Karsegard VL，Viatte V，et al.Comparison of three indirect calorimetry devices and three methods of gas collection：a prospective observational study[J].Clin Nutr，2013，32（6）：1067-1072.
[10]	钟春苗，嵇朝晖，戴竹泉，等.早期肠内营养标准化治疗流程管理对ARDS机械通气患者血糖变化及预后的影响[J].中华危重病急救医学，2017，29（12）：1133-1137.
[11]	张慧慧，赵伟英，王志娟，等.ICU机械通气患者误吸评估方法及风险因素评估的研究进展[J].护理与康复，2017，16（2）：130-134.
[12]	邓云霞，徐正梅，孙志琴.肠内营养输注速度对呼吸衰竭机械通气病人腹内压和肺顺应性的影响[J].肠外与肠内营养，2016，23（4）：254-256.
[13]	程伟鹤，刘华平，史冬雷，等.机械通气患者腹内压与肠内营养喂养不耐受的相关性研究[J].中国护理管理，2018，18（3）：361-367．
[14]	葸英博，李建华，彭冲，等.机械通气患者不同营养方式对感染及免疫功能的影响研究[J].川北医学院学报，2016，31（1）：58-62.
[15]	纪明锁，任新生，徐杰，等.早期肠内营养治疗对脓毒症病人机械通气脱机的临床观察[J].肠外与肠内营养，2016，23（4）：216-219.
[16]	邰春，鲁厚清，邵仁德，等.鼻肠管营养在急诊重症病人的临床研究[J].肠外与肠内营养，2020，27（1）：46-49.
[17]	李恺贝.空肠营养管予以早期肠内营养在全胃切除术后恢复中的疗效分析[D].长沙：湖南师范大学，2019.
[18]	安友仲.补不足损有余无监测慎营养——再谈危重症病人的营养治疗[J].肠外与肠内营养，2017，24（3）：129-131.
[19]	陈娅琼，王一婷.幽门后喂养方式应用于危重患者早期肠内营养对肠内营养耐受性及临床预后的影响[J].中国全科医学，2019，22（S1）：61-63.
[20]	张正君，方可，李光耀.术前营养状态相关指标与结直肠癌根治术患者预后的关系[J].山东医药，2017，57（30）：90-91.
[21]	孙玉宝，杜红霞，芦乙滨，等.重症颅脑损伤机械通气中留置鼻肠管行肠内营养的应用价值分析[J].现代诊断与治疗，2019，30（5）：769-770.