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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呼吸循环功能的影响。方法将102例手足口病机械通气患儿随机分为观察组(重力鼻饲喂养组)和对照组(间断鼻饲喂养组)各51例,分别观察从喂养至喂养操作后1min患儿的心率、呼吸频率、血氧饱和度的变化情况及患儿喂养时有无喂养不耐受、消化道出血及呼吸机相关性肺炎的发生。结果观察组患儿心率、呼吸频率、血氧饱和度的变化幅度小,差异有统计学意义(P<0.01);观察组呼吸机相关性肺炎发生率低于对照组,差异有统计学意义(P<0.05);观察组喂养不耐受及消化道出血发生率均低于对照组,差异有统计学意义(P<0.01)。结论重力鼻饲喂养有利于手足口病机械通气患儿喂养时心率、呼吸频率、血氧饱和度的稳定,患儿的喂养不耐受、消化道出血、呼吸机相关性肺炎的发生率低,有利于营养物质的吸收,机械通气并发症的发生率降低,促进患儿康复。
Objective To investigate the effect of gravity nasal feeding on respiratory function in children with hand-foot-mouth disease mechanical ventilation. Methods A total of 102 children with hand-foot-mouth disease were randomly divided into observation group (gravitation nasogastric feeding group) and control group (intermittent nasogastric feeding group), 51 cases were observed from feeding to feeding 1min after treatment of children with heart rate, respiration Frequency, changes in oxygen saturation and feeding with or without feeding intolerance, gastrointestinal bleeding and ventilator-associated pneumonia. Results The changes of heart rate, respiratory rate and oxygen saturation in the observation group were small (P <0.01), and the incidence of ventilator-associated pneumonia in the observation group was lower than that in the control group (the difference was statistically significant (P < P <0.05). The incidences of feeding intolerance and gastrointestinal bleeding in the observation group were lower than those in the control group, with statistical significance (P <0.01). Conclusion Gravity nasal feeding is beneficial to the stability of heart rate, respiratory rate and oxygen saturation in children with hand-foot-mouth disease during mechanical ventilation. Feeding intolerance, gastrointestinal bleeding and ventilator- Conducive to the absorption of nutrients, reduce the incidence of complications of mechanical ventilation, and promote recovery of children.