鼻胃管行肠内营养对机械通气患儿误吸的影响分析

发布时间：2018-01-11 16:34

本文关键词：鼻胃管行肠内营养对机械通气患儿误吸的影响分析　出处：《护理管理杂志》2016年11期 　论文类型：期刊论文

【摘要】：目的探讨鼻胃管因素对机械通气患儿误吸的影响作用。方法选取在儿童重症监护病房行机械通气并进行肠内营养的患儿为研究对象,共收集患儿599例次样本,通过测定患儿支气管分泌物中胃蛋白酶含量判断误吸发生情况,同时收集鼻胃管相关因素,分析鼻胃管因素对误吸的作用。结果鼻胃管直径以8 Fr为主(64.77%),96.49%的患儿采用间断注射器重力输注,鼻胃管置入深度15~40(30.05±6.75)cm,鼻饲液量中位数为100 ml;15.86%的患儿出现了胃潴留。胃管置入深度、鼻饲液种类、鼻饲液量、鼻饲方式及胃残留量对误吸的影响具有统计学意义(P0.01或P0.05)。结论鼻胃管是机械通气患儿进行肠内营养的主要途径,喂养时应保证患儿鼻胃管的置入深度,根据患儿病情需要选择适宜的营养液,匀速低速喂养,严密监测胃残留量,以降低误吸的发生率。
[Abstract]:Objective to explore the influence factors of nasogastric aspiration on patients with mechanical ventilation. Methods in pediatric ICU mechanical ventilation and enteral nutrition in children as the research object, collected a total of 599 children per sample, through the determination of children with bronchial secretion in gastric protease content to determine misinhalation, and collect relevant factors nasogastric tube, analysis of factors on nasogastric tube aspiration. The nasogastric tube diameter to 8 Fr (64.77%), 96.49% were treated with intermittent gravity syringe infusion, nasogastric tube insertion depth of 15~40 (30.05 + 6.75) cm, nasal fluid volume was 100 ml; 15.86% of the children had gastric retention of gastric tube. In depth, nasal fluid type, nasal fluid volume, nasal feeding and gastric residual volume has significant effects on aspiration (P0.01 or P0.05). Conclusion nasogastric tube is patients with mechanical ventilation enteral nutrition for the main In order to ensure the placement depth of nasogastric tube, we should choose appropriate nutrition solution according to the needs of children, keep uniform and low speed feeding, closely monitor gastric remnant, so as to reduce the incidence of aspiration.

【作者单位】：首都医科大学附属北京儿童医院重症医学科;
【基金】：北京市优秀人才培养项目(2013D003034000003)
【分类号】：R473.72
【正文快照】： 机械通气患儿不能经口进食,分解代谢增加,需对其进行营养支持。在营养支持中,首选肠内营养,肠内营养的途径依据患儿的原发病、所需营养的时间和相关的医疗条件进行选择,包括鼻胃管、胃造瘘管、鼻空肠管、空肠造瘘管[1]。各种途径各有其优缺点,鼻胃管途径简单易行,即插即用,是

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