机械摇晃法在呼吸重症鼻肠管患者鼻饲给药中的应用
Application of mechanical swinging in nasal feeding administration for severe re-spiratory disease patients with nasal enteric tubes
文彬 1唐丽安 1姜晓燕 1刘霞琴 1石方妮 1周虹君1
作者信息
- 1. 广西医科大学第一附属医院呼吸与危重症医学科,广西南宁 530021
- 折叠
摘要
目的 探讨传统鼻饲法与机械摇晃法在呼吸重症鼻肠管患者鼻饲给药中的应用效果.方法 选取呼吸重症监护室2022 年6 月至2023 年6 月收治的80 例留置鼻肠管患者为研究对象,根据随机数字表法分为对照组和实验组.对照组采用传统鼻饲法,实验组采用机械摇晃法,比较两组患者首次鼻饲给药后灌注器内残留药物量、鼻肠管堵管例数、溶解药物的温开水用量.结果 实验组患者首次鼻饲给药后灌注器内残留药物量、鼻肠管堵管例数均低于对照组,溶解药物的温开水用量少于对照组,差异均有统计学意义(均P<0.05).结论 机械摇晃法与传统鼻饲法相比,更适用于呼吸重症鼻肠管患者鼻饲给药,可减少混悬药液残留量及溶解药物温开水用量,减少了患者的摄水量,有利于避免鼻肠管堵管和降低鼻肠管非计划性拔管及管道重置率.
Abstract
Objective To explore the application effects of traditional nasal feeding and mechanical swinging methods in nasal feed-ing administration for severe respiratory disease patients with nasal-enteric tubes.Methods Eighty patients with indwelling nasal-en-teric tubes admitted to the respiratory intensive care unit from June 2022 to June 2023 were selected as the research subjects.Using a random number table,the patients were divided into a control group(using traditional nasal feeding)and an experimental group(using mechanical swinging).The study compared the residual drug volume in the perfusion apparatus,the incidence of nasal-enteric tube blockage,and the amount of warm water used to dissolve medications after the first nasal feeding between the two groups.Results The experimental group had a lower residual drug volume in the perfusion apparatus,a lower incidence of nasal-enteric tube blockage,and a lower amount of warm water used to dissolve medications compared to the control group after the first nasal feeding.These differ-ences were statistically significant(all P<0.05).Conclusion Compared to traditional nasal feeding,mechanical swinging is more suitable for nasal feeding administration in critically ill patients with nasal-enteric tubes.It can reduce the residual volume of drug solu-tion,the incidence of nasal-enteric tube blockage,and the amount of warm water used to dissolve medications.This approach can de-crease patient water intake,prevent unplanned extubation of nasal-enteric tubes,and reduce the rate of tube repositioning.
关键词
机械摇晃法/呼吸重症/鼻肠管/鼻饲给药Key words
Mechanical swinging methods/Severe respiratory disease/Nasal-enteric tube/Nasal feeding administration引用本文复制引用
出版年
2024
NETL
NSTL
万方数据