中风与神经疾病杂志2024，Vol.41Issue(5)：452-458,7.DOI:10.19845/j.cnki.zfysjjbzz.2024.0087
大脑半球大面积脑梗死患者血管内低温治疗时实现早期幽门后喂养的流程优化研究
Optimization of early post-pyloric feeding process during intravascular hypothermia in patients with large hemi-spheric infarction
摘要
Abstract
Objective To optimize the nursing process for achieving early post-pyloric feeding during intravascular hypothermia for patients with large hemispheric infarction,and to investigate its application effect.Methods The conve-nience sampling method was used to select 53 patients with first-episode large hemispheric infarction who were admitted to the intensive care unit of Department of Neurology and underwent intravascular hypothermia in a grade A tertiary hospital in Beijing,China,from January 2019 to December 2021.The 25 patients from January 2019 to May 2020 were enrolled as control group,and the 28 patients from June 2020 to December 2021 were enrolled as experimental group.The patients in the experimental group received optimized nursing process,and those in the control group received conventional nursing process.The two groups were compared in terms of the success rate of nasointestinal tube placement,the incidence rate of catheter-related complications,the total time of catheterization,and the start-up time of intravascular hypothermia.Results Compared with the control group,the experimental group had a significantly higher success rate of nasointesti-nal tube placement(85.7%vs 52.0%,P<0.05),a significantly shorter total time of catheterization[(48.84±19.12)minutes vs(75.90±18.63)minutes,P<0.05],and significantly lower incidence rates of nasopharyngeal mucosa bleeding,gastrointestinal bleeding,and arrhythmia(P<0.05),while there was no significant difference in the start-up time of intra-vascular hypothermia between the two groups(P>0.05).Conclusion The optimized process of early post-pyloric feeding during intravascular hypothermia for patients with large hemispheric infarction can ensure the timely start-up of intravascu-lar hypothermia,effectively shorten the time of nasointestinal tube placement,improve the success rate of catheterization,and reduce the onset of catheter-related complications.关键词
大脑半球大面积脑梗死/血管内低温治疗/早期幽门后喂养/流程优化Key words
Large hemispheric infarction/Intravascular hypothermia/Early post-pyloric feeding/Process optimization分类
医药卫生引用本文复制引用
曹闻亚,常红,李苗,范琳琳,田飞,刘刚..大脑半球大面积脑梗死患者血管内低温治疗时实现早期幽门后喂养的流程优化研究[J].中风与神经疾病杂志,2024,41(5):452-458,7.基金项目
北京市卫生健康委员会,北京市卫生健康科技成果和适宜技术(BHTPP2022084) （BHTPP2022084）
