不同肠内营养对脑出血昏迷患者医院获得性肺炎的临床影响

作     者：付开莎 韩光魁 

作者机构：济宁医学院临床医学院山东 济宁 济宁医学院附属医院神经外科重症监护室山东 济宁 

出 版 物：《临床医学进展》 (Advances in Clinical Medicine)

年 卷 期：2025年第15卷第3期

页      面：2199-2204页

学科分类：1011[医学-护理学（可授医学、理学学位）] 10[医学] 

主　　题：肠内营养 脑出血 昏迷 医院获得性肺炎 

摘      要：目的:分析探讨不同肠内营养对脑出血昏迷患者医院获得性肺炎的临床影响。方法:选取我院2022年7月至2024年7月收治的100名脑出血昏迷患者,将所有患者按照治疗方法的不同,分为50例对照组和50例观察组,分别采用经鼻胃管肠内营养和经鼻肠管肠内营养这两种不同的肠内营养支持。治疗结束后,比较两组患者的炎症因子检测、营养指标、HAP的诊断、肠道菌群分析等指标差异。结果:1) 分析对比两组患者的治疗总有效率:观察组的治疗总有效率明显高于对照组,差异有统计学意义(P Objective: To analyze and explore the clinical effects of different enteral nutrition on hospital-acquired pneumonia in comatose patients with cerebral hemorrhage. Methods: 100 comatose patients with cerebral hemorrhage admitted to our hospital from July 2022 to July 2024 were selected. All patients were divided into a control group of 50 cases and an observation group of 50 cases according to different treatment methods, and received two different types of enteral nutrition support: nasogastric enteral nutrition and nasointestinal enteral nutrition. After treatment, the differences in inflammatory factor detection, nutritional indicators, HAP diagnosis, and gut microbiota analysis between the two groups of patients were compared. Results: 1) Analysis and comparison of the total effective rate of treatment between the two groups of patients: The total effective rate of treatment in the observation group was significantly higher than that in the control group, and the difference was statistically significant (P 0.05). 2) Analysis and comparison of the incidence of complications between two groups of patients: the incidence of complications in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P 0.05). Conclusion: The use of nasointestinal enteral nutrition support in comatose patients with acute cerebral hemorrhage can improve the gastrointestinal motility and nutritional status of patients to a certain extent, effectively enhance their immune ability, reduce inflammatory reactions, and lower the risk of complications. It is of great significance for improving the prognosis of patients and has good safety, which is worthy of clinical promotion and application.