茅彦 汪莉莉 徐玲玲

    [关键词] 神经外科;肠内营养;鼻饲;误吸;预防护理

    [中图分类号] R473.6? ? ? ? ? [文献标识码] B? ? ? ? ? [文章编号] 1673-9701(2021)14-0178-04

    Analysis on the causes of aspiration and nursing measures in the patients with neurosurgical coma during nasal feeding

    MAO Yan? ?WANG Lili? ?XU Lingling

    Department of Neurosurgery， Eastern Branch of Ningbo Medical Center Lihuili Hospital， Ningbo? ?315040， China

    [Abstract] Objective To study the causes of aspiration in gastrointestinal nutrition in the patients with severe head injury and coma and their preventive nursing measures. Methods Retrospective analysis was used to select patients with severe head injury who were admitted to our department from January 2018 to June 2019，including 82 patients with enteral nutrition. They were divided into aspiration group and non-aspiration group. The general data， the depth of gastric tube indwelling， the use of related drugs and the GCS score were compared between the two groups. The factors related to aspiration was identified. Results ①The GCS score， the use of gastric-protective drugs， the actual indwelling depth and the difference of gastric tube indwelling depth of two groups were statistically significant (P30 mL/次 ......