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不同胃肠管喂养方式对脑卒中患者肠内营养并发症的影响

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目的 系统评价脑卒中患者经鼻胃管与鼻肠管喂养对肠内营养并发症发生的影响。方法 系统检索中国知网(CNKI)、万方数据库和维普中文科技期刊数据库(VIP),纳入关于鼻胃管与鼻肠管喂养对脑卒中患者肠内营养并发症发生影响的研究,采用Review Manager 5。3对经筛选纳入研究的24篇文献进行合并,求其效应合并值,得加权均数差(WMD)及其95%CI。结果 经Meta分析,采用鼻肠管喂养在脑卒中患者中吸入性肺炎、反流、误吸、呕吐、胃潴留、腹胀、腹泻7项并发症指标发生率低于鼻胃管喂养,所纳入的文献无明显发表偏倚。结论 在我国脑卒中患者中采用鼻肠管喂养方式相比于鼻胃管喂养可以有效降低多种并发症的发生率,鼻肠管喂养是脑卒中患者施行肠内营养支持的优选方案。
Objective To systematically evaluate the effects of nasogastric tube and nasointestinal tube feeding on the incidence of enteral nutrition complications in stroke patients in China.Methods China National Knowledge Infrastructure(CNKI),Wanfang Database and VIP Chinese Science and Technology Journal Database were systematically searched to include studies on the effects of nasogastric tube and nasointestinal tube feeding on the incidence of enteral nutrition complications in stroke patients.The data of 24 selected researches was combined with Review Manager 5.3,the weighted mean difference and 95%CI of the value of the combined effects were calculated.Results Through meta-analysis,the incidence of aspiration pneumonia,regurgitation,aspi ration,vomiting,gastric retention,abdominal distension and diarrhea in stroke patients with nasogastric feeding was significantly lower than that of nasogastric feeding.There was no obvious publication bias in the 24 included articles.Conclusion Compared with nasogastric tube feeding,nasointestinal tube feeding can effectively reduce the incidence of various complications in stroke patients.Nasointestinal tube feeding is the preferred scheme for enteral nutrition support in stroke patients.

StrokeNasointestinal tubeNasogastric tubeComplicationMeta-analysis

方卫琴、杨静

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310020 浙江省青春医院

310016 浙江省监狱管理局卫生防疫站

脑卒中 鼻胃管 鼻肠管 并发症 Meta分析

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(8)