| 霍薇付薇程阅凤刘战卞鑫吴晓辉.大面积脑梗塞患者鼻饲一周、二周引起消化道出血的相关因素分析[J].,2012,12(9):1728-1730 |
| 大面积脑梗塞患者鼻饲一周、二周引起消化道出血的相关因素分析 |
| Analysis on the Relevant Factors of Gastrointestinal Bleeding after NasalFeeding in Patients with Massive Cerebral Infarction |
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| DOI： |
| 中文关键词: 大面积脑梗塞 鼻饲法 消化道出血 相关因素 |
| 英文关键词: Massive cerebral infarction Nasal feeding Gastrointestinal bleeding Relevant factors |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨影响神经内科大面积脑梗塞患者鼻饲后消化道出血的影响因素,以使医护人员采取有效的护理措施预防患者消
化道出血，为神经内科防控大面积脑梗塞患者鼻饲后消化道出血提供切实可行的依据。方法：选取2010 年9 月-2011 年9 月我院
神经内科大面积脑梗塞住院患者400 例，分为普通组与对照组，比较两组患者消化道出血的情况。针对消化道出血情况进行调查
分析，找出引起大面积脑梗塞患者消化道出血的相关影响因素。结果：数据显示，鼻饲时间长短（一周、二周）与患者发生消化道出
血有关联，鼻饲二周患者发生消化道出血机率高于鼻饲一周患者，两组间统计检验，x2=11.329，P<0.05,有显著差异。大面积脑梗塞
患者发生消化道出血主要与以下几个因素相关：自身疾病及严重程度、年龄、置管位置、鼻饲技术。结论：护理人员可依据致使患
者发生消化道出血的危险因素，有针对性的采取防控措施，降低神经内科患者鼻饲后消化道出血发生率，有效保障患者安全，提
高护理质量。 |
| 英文摘要: |
| Objective: Objective: To explore the impact factors of gastrointestinal bleeding after nasal feeding of patients with a
large area of cerebral infarction, so that the medical staff can take effective preventive care measures for patients, and provide practical
basis for prevention and control of gastrointestinal bleeding after nasal feeding in patients with large areas of cerebral infarction. Methods:
400 cases of hospitalized patients with large area of cerebral infarction who were selected in our hospital during September 2010 and
September 2011, were divided into ordinary group and control group. Compared the gastrointestinal bleeding situation between the two
groups. Investigated and analyzed the causes of gastrointestinal bleeding in patients with massive cerebral infarction. Results: Data
showed that nasal feeding time ( for one week or two weeks) was associated with gastrointestinal bleeding. Patients receiving two weeks
of nasal feeding had a higher risk of gastrointestinal bleeding than those with one week of nasal feeding, and there are statistical differences
between the two groups, for x2 = 11.329, P<0.05. The occurrence of gastrointestinal bleeding in patients with massive cerebral infarction
was mainly associated with the following factors: severity of their disease, age, catheter position and nasal feeding techniques.
Conclusion: Nursing staff can take targeting prevention and control measures based on the risk factors of gastrointestinal bleeding, to reduce
the incidence of gastrointestinal bleeding of neurology patients after nasal feeding, and to ensure the patients' safety and improve
nursing quality. |
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