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目的评价液囊空肠管在急性脑卒中伴吞咽困难患者的应用效果。方法选取2014年5月-2015年3月我科住院的80例急性期脑卒中患者,按临床就诊先后顺序随机分成对照组和观察组各40例。对照组采用普通复尔凯鼻胃管置入;观察组采用液囊空肠管置入进行肠内营养。比较两组患者置管14d后卒中相关性肺炎的发生率情况及营养治疗费用情况。结果观察组和对照组患者置管14d后卒中相关性肺炎的发生率为5%和15%,两组比较差异有统计学意义(P<0.01);观察组营养治疗费用明显低于对照组(P<0.001)。结论留置液囊空肠管在急性脑卒中伴吞咽困难患者早期肠内营养支持中应用方便,可减少并发症,减少营养治疗费用。
Objective To evaluate the application effect of liquid sac jejunum in acute stroke patients with dysphagia. Methods From May 2014 to March 2015, 80 patients with acute stroke who were hospitalized in our department were randomly divided into control group and observation group according to the order of clinical treatment. The control group was treated with common Golkar nasogastric tube. The observation group was treated with liquid sac and jejunal tube for enteral nutrition. The incidence of stroke-related pneumonia and the cost of nutritional treatment were compared between the two groups after 14 days of catheterization. Results The incidence of stroke-associated pneumonia in observation group and control group was 5% and 15% respectively after 14 days of catheterization (P <0.01). The cost of nutrition treatment in observation group was significantly lower than that in control group P <0.001). Conclusion Indwelling liquid sac jejunal tube is convenient for early enteral nutrition support in patients with acute stroke and dysphagia, which can reduce the complications and reduce the cost of nutrition treatment.