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目的比较经胃镜放置鼻肠管与常规鼻胃管2种营养途径的肠内营养在机械通气患者中的应用效果。方法将65例机械通气患者分为常规鼻胃管组(32例)和经胃镜鼻肠管组(33例),均给予肠内营养。观察2组置管成功率和并发肺炎发生率。结果 2组置管成功率均为100%;鼻肠管组肺炎发生率为6.1%,鼻胃管组31.2%,2组比较差异有统计学意义(P<0.05)。结论鼻胃管及胃镜下置鼻肠管操作均有较高的安全性,但鼻肠管肺炎发生率较鼻胃管低。
Objective To compare the effects of enteral nutrition with mechanical ventilation on nasal and nasogastric tube placed by gastroscope in patients with mechanical ventilation. Methods 65 patients with mechanical ventilation were divided into conventional nasogastric tube group (32 cases) and endoscopic nasal tube group (33 cases), were given enteral nutrition. Observe the success rate of two sets of catheter and the incidence of pneumonia. Results The successful rate of catheterization in both groups was 100%. The incidence of pneumonia in nasal tube group was 6.1% and that in nasogastric tube group was 31.2%. There was significant difference between the two groups (P <0.05). Conclusion Nasogastric tube and endoscopic nasal tube placement have higher safety, but the incidence of nasal tube pneumonia is lower than that of nasogastric tube.