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目的 :通过对在重型颅脑外伤患者中进行PEG-J肠内营养管道的建立,探讨该术式对患者呼吸机相关性肺炎发生率的影响。方法:61例患者系通过随机数字表分成两组。治疗组在常规治疗同时48 h内进行床旁PEG-J的管道留置以实施肠内营养治疗;对照组在常规治疗的同时肠内营养途径选择为鼻胃管,若患者出现胃排空障碍时则选用鼻肠管。结果:治疗组患者的VAP发病率均显著低于对照组,两组之间比较具有显著性差异(P<0.05)。结论 :应用PEG-J管道在重型颅脑外伤患者中进行肠内营养治疗是可靠、安全的,同时也是降低呼吸机相关性肺炎的发生率、改善患者预后的重要措施之一。
OBJECTIVE: To investigate the effect of this technique on the incidence of ventilator-associated pneumonia in patients with severe traumatic brain injury by establishing PEG-J enteral nutrition pipeline. Methods: Sixty-one patients were divided into two groups by random number table. In the treatment group, the bedside PEG-J catheter indwelling for routine enteral nutrition treatment was administered within 48 hours. In the control group, nasogastric tube was selected as the enteral nutrition route during routine treatment. If the patient had gastric emptying disorder Choose the sausage tube. Results: The incidence of VAP in the treatment group was significantly lower than that in the control group, with significant difference between the two groups (P <0.05). Conclusion: The use of PEG-J for enteral nutrition in patients with severe traumatic brain injury is reliable and safe. It is also one of the important measures to reduce the incidence of ventilator-associated pneumonia and improve prognosis.