两种鼻饲方法在冠心病合并多器官功能障碍的高龄患者中应用的效果比较

摘要

Objective To observe the influence of two different ways of nasal feeding on the comfort level of the aged patients complicated with coronary heart disease (CHD) and multiple organ dysfunction syndrome (MODS).Methods Thirty aged patients with CHD and MODS were enrolled into the study with self-contrast experiment made in each patient. Continuous injection was applied for 20 days, followed by intermittent injection for another 20 days. The comfort changes of two different nasal feedings for each patient were recorded (including heart rate, respiration, nausea and vomiting after nasal feeding, pneumonia, abdominal distention, angina pectoris, blood glucose and the rate of alimentary tract hemorrhage).The data collected from the experiment was statistically analyzed.Results Compared with the intermittent injection, the continuous injection could obviously alleviate alimentary tract symptoms such as upper gastrointestinal tract hemorrhage, pneumonia, gastric retention, abdominal distention, nausea and vomiting.Conclusions The continuous injection of nutrient solution can effectively improve the comfort level of the aged patients with CHD and MODS.%目的 比较两种不同鼻饲方法在高龄冠心病合并多器官功能障碍患者中应用的效果.方法 30例高龄老年冠心病合并多器官功能障碍患者采用自身对照实验,采用持续滴注法及间歇滴注法两种不同鼻饲方法各20d,记录同一患者采用不同鼻饲法鼻饲前后舒适度变化(包括心率、呼吸、鼻饲后恶心呕吐、肺炎、腹胀、心绞痛、血糖、消化道出血发生率),将两组实验数据进行统计学处理.结果 持续滴注法与间歇滴注法比较,其消化道出血、肺炎、胃潴留以及腹胀、恶心、呕吐等消化道症状较对照组有明显下降,差异有统计学意义(P<0.05).结论 采用持续滴注营养液的鼻饲模式可有效提高高龄老年冠心病合并多种基础疾病患者的舒适度,值得临床推广应用.