Optimization of early post-pyloric feeding process during intravascular hypothermia in patients with large hemi-spheric infarction
10.19845/j.cnki.zfysjjbzz.2024.0087
- VernacularTitle:大脑半球大面积脑梗死患者血管内低温治疗时实现早期幽门后喂养的流程优化研究
- Author:
Wenya CAO
1
;
Hong CHANG
;
Miao LI
Author Information
1. 首都医科大学宣武医院神经内科,北京 100053
- Keywords:
Large hemispheric infarction;
Intravascular hypothermia;
Early post-pyloric feeding;
Process optimization
- From:
Journal of Apoplexy and Nervous Diseases
2024;41(5):452-458
- CountryChina
- Language:Chinese
-
Abstract:
Objective To optimize the nursing process for achieving early post-pyloric feeding during intravascular hypothermia for patients with large hemispheric infarction,and to investigate its application effect.Methods The conve-nience sampling method was used to select 53 patients with first-episode large hemispheric infarction who were admitted to the intensive care unit of Department of Neurology and underwent intravascular hypothermia in a grade A tertiary hospital in Beijing,China,from January 2019 to December 2021.The 25 patients from January 2019 to May 2020 were enrolled as control group,and the 28 patients from June 2020 to December 2021 were enrolled as experimental group.The patients in the experimental group received optimized nursing process,and those in the control group received conventional nursing process.The two groups were compared in terms of the success rate of nasointestinal tube placement,the incidence rate of catheter-related complications,the total time of catheterization,and the start-up time of intravascular hypothermia.Results Compared with the control group,the experimental group had a significantly higher success rate of nasointesti-nal tube placement(85.7%vs 52.0%,P<0.05),a significantly shorter total time of catheterization[(48.84±19.12)minutes vs(75.90±18.63)minutes,P<0.05],and significantly lower incidence rates of nasopharyngeal mucosa bleeding,gastrointestinal bleeding,and arrhythmia(P<0.05),while there was no significant difference in the start-up time of intra-vascular hypothermia between the two groups(P>0.05).Conclusion The optimized process of early post-pyloric feeding during intravascular hypothermia for patients with large hemispheric infarction can ensure the timely start-up of intravascu-lar hypothermia,effectively shorten the time of nasointestinal tube placement,improve the success rate of catheterization,and reduce the onset of catheter-related complications.
