海南医科大学学报

目的:观察螺旋型鼻肠管对大面积烧伤患者营养支持的效果,旨在为大面积烧伤患者选择高效的肠内营养途径提供依据。方法:选取中国人民解放军第251医院2014年1月~2015年6月收治的60例大面积烧伤患者,依据营养支持置管方式不同分为观察组及对照组各30例,观察组患者采用螺旋型鼻肠管行肠内营养支持治疗,对照组采用常规胃管进行肠内营养支持治疗,记录两组置管前及置管后第3、6、10天的营养情况及并发症发生率。结果:观察组置管后第6、10天白蛋白(ALB)、血红蛋白(HB)、前白蛋白(PA)、血肌酐(Scr)水平均明显高于对照组(P<0.05);观察组治疗期间并发症发生率明显低于对照组(P<0.05)。结论:螺旋型鼻肠管能更高效的为大面积烧伤患者提供肠内营养支持,改善机体营养状况,同时较传统常规经胃管营养支持治疗并发症发生率更低,利于患者康复。

Objective:To observe the effect of spiral nasointestinal tube on enteral nutrition support in patients with extensive burn.Methods:A total of 60 patients with extensive burn who were admitted in our hospital from January,2014 to June,2015 were included in the study and divided into the observation group and the control group with 30 cases in each group according to different catheter indwelling methods.The patients in the observation group were given spiral nasointestinal tube for enteral nutrition support,while the patients in the control group were given routine gastric tube for enteral nutrition support.The nutrition status and the occurrence rate of complications before catheter indwelling,3,6,and 10 dafter catheter indwelling in the two groups were recorded.Results:The levels of ALB,HB,PA,and Scr 6,10 dafter catheter indwelling in the observation group were significantly higher than those in the control group(P<0.05).The occurrence rate of complications during the treatment period in the observation group was significantly lower than that in the control group(P<0.05).Conclusions:The spiral nasointestinal tube can provide the patients with extensive burn a better effective enteral nutrition support and improve the nutrition support,with a lower occurrence rate of complications,which is beneficial for the patients' rehabilitation.