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目的:探讨重力鼻饲喂养对手足口病机械通气患儿喂养及并发症的影响。方法:将108例手足口病机械通气患儿随机分重力鼻饲喂养54例为实验组和间断鼻饲喂养54例为对照组,观察患儿喂养时的耐受性,有无消化道出血及呼吸机相关性肺炎的发生,机械通气时间,住院天数。结果:实验组和对照组患儿喂养不耐受、消化道出血发生率、机械通气时间及住院天数比较差异有统计学意义(P<0.01),呼吸机相关性肺炎的发生率差异有统计学意义(P<0.05)。结论:重力鼻饲喂养应用于手足口病机械通气患儿耐受性好,能增加营养物质的吸收,减少并发症的发生,缩短机械通气时间及住院天数,促进患儿康复,降低患儿家属的经济负担。
Objective: To investigate the effects of gravity nasal feeding on the feeding and complication of children with mechanical mouth-mouth disease. Methods: A total of 108 children with hand-foot-mouth disease were randomly divided into experimental group and fed with intermittent nasal feeding. 54 children with mechanical ventilation were randomly divided into experimental group and intermittent nasal feeding as control group. The tolerability of feeding, gastrointestinal bleeding and ventilator Associated pneumonia, mechanical ventilation, hospitalization days. Results: There were significant differences in feeding intolerance, incidence of gastrointestinal bleeding, duration of mechanical ventilation and length of hospital stay between the experimental group and the control group (P <0.01). The incidence of ventilator-associated pneumonia was statistically different Significance (P <0.05). CONCLUSION: Gravitation nasal feeding in children with HFMD is well tolerated, which can increase the absorption of nutrients, reduce the incidence of complications, shorten the duration of mechanical ventilation and hospital stay, promote recovery of children and reduce the incidence of children’s family members economic burden.