Effects conparing of blind nasointestinal tube inserting and nasogastric tube nutrition support on patients with severe craniocerebral injury
10.3760/cma.j.issn.1674-2907.2018.09.018
- VernacularTitle:盲插鼻空肠管和鼻胃管营养支持对重型颅脑损伤患者影响的比较
- Author:
Xinran DING
1
Author Information
1. 125000,辽宁省葫芦岛市中心医院重症医学科
- Keywords:
Craniocerebral injury;
Nutritional support;
Enteral nutrition;
Nasointestinal tube;
Nasogastric tube
- From:
Chinese Journal of Modern Nursing
2018;24(9):1067-1071
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate effects of blind nasointestinal tube inserting and nasogastric tube nutrition support on patients with severe craniocerebral injury, and summarize the nursing methods and experience. Methods A total of 104 patients with severe craniocerebral injury treated in Huludao Central Hospital from June 2014 to June 2016 were selected and divided into observation group (n=52) and control group (n=52) according to the random number table method. Patients of the control group were given nasogastric tube, and patients of the observation group were treated with blind nasointestinal tube inserting and nutrition support. Nutritional status, complications and rehabilitation of two groups were compared. Results Mortality of the observation group was 3.85% (2 cases) and 5.77% (3 cases) for the control group (P>0.05). Serum protein, prealbumin, hemoglobin and transferrin of two groups did not differ before nutritional support (P>0.05). After nutritional support, serum protein, prealbumin, hemoglobin, and transferrin of the observation group were higher than those of the control group[(58.72±4.12)vs.(55.21±4.03) g/L,(26.21±4.24)vs.(23.35±4.02) g/L, (126.75±9.22)vs.(122.43±9.14) g/L, (1.94±0.35)vs. (1.67. 0.32)g/L;P<0.05]. Incidence of complications of the observation group was lower than that of the control group (10.00% vs. 26.53%,P< 0.05). The total gastrointestinal nutrition time and ICU time of the observation group were shorter than those of the control group [(4.91±0.42) vs. (5.32±0.46) d,(112.45±12.31) vs. (137.56±14.25)h ;P<0.05]. Conclusions It is safe and effective for patients with severe craniocerebral injury to have blind nasointestinal tube inserting and nutrition support. Combining effective and timely nursing can improve the nutritional status of patients, reduce the incidence of complications and improve the prognosis of patients.
