摘要
目的探讨经鼻肠管泵入肠内营养联合中医早期护理干预对脑卒中卧床患者吸入性肺炎的预防作用。方法选择神经内科收治的脑卒中卧床患者64例,随机分为试验组和对照组,各32例。对照组予以鼻胃管肠内营养支持+常规护理,试验组予以经鼻肠管泵入肠内营养支持+中医早期护理干预。治疗结束后,比较2组患者营养状况、神经功能缺损评分、吸入性肺炎发生率及并发症发生率。结果与对照组相比,试验组NIHSS评分较低(P<0.05),血红蛋白(Hb)、血清总蛋白(TP)、血清白蛋白(Alb)以及三酰甘油(TG)水平较高(P<0.05),吸入性肺炎及并发症发生率较低(P<0.05)。结论经鼻肠管泵入肠内营养联合中医早期护理干预能够有效预防脑卒中卧床患者吸入性肺炎发生,改善患者营养状况,预后良好。
Objective To investigate the preventive effect of nutritional support by enteral feeding via nasal tube combined with early traditional Chinese medicine nursing in stroke patients in bed. Methods 64 patients with stroke in bed in department of neurology were randomly divided into the experiment group and the control group, and each group had 32 cases. Patients in the control group received Nasogastric tube enteral nutrition support, nutritional support by enteral feeding via nasal tube, and the study group also received early traditional Chinese medicine nursing. Nutritional status, neurological deficit score, incidence of aspiration pneumonia and complication rate were compared between the two groups. Results Comparing with the control group, scores of NIHSS in the experiment group were lower（ P〈0.05）, levels of hemoglobin（ Hb）, serum total protein（ TP）, serum albumin（ Alb） and triglyceride（ TG） in the experiment group were higher（ P〈0.05）, and aspiration pneumonia and complication rate in the experiment group were lower（ P〈0.05）. Conclusion Nutritional support by enteral feeding via nasal tube combined with early traditional Chinese medicine nursing in stroke patients in bed can effectively prevent the occurrence of aspiration pneumonia,improve the nutritional status of patients, and has a good prognosis.
作者
王丹
WANG Dan(Department of Neurology, Shengjing Hospital Affiliated to China Medical University, Liaoning Province, Shenyang 110004, China)
出处
《中国中医药现代远程教育》
2018年第8期142-144,共3页
Chinese Medicine Modern Distance Education of China
关键词
脑卒中
中医护理
肠内营养
吸入性肺炎
中风
咳嗽
stroke
traditional Chinese medicine nursing
enteral nutrition support
aspiration pneumonia
stroke
cough
