Abstract
Objective To evaluate the effect of enteral nutrition through nasointestinal tube (NIT)applying in severe craniocerebral trauma patients with mechanical ventilation.Methods A total of 58 severe craniocerebral trauma patients with mechanical ventilation in ICU were randomly divided into two groups:observation group with NIT enteral nutrition and control group with the traditional nasal feeding.The starting time to tolerate enteral nutrition,the time it took to reach the target feeding,the occurrence of complications and ventilator-associated pneumonia (VAP),the duration of mechanical ventilation,the cost of treatment,the length of hospital stay were compared between the two groups.Results The starting time to tolerate enteral nutrition was (18.23 ± 10.16) h in the observation group and (35.44 ± 13.55) h in the control group; the time it took to reach the target feeding was (74.78 ± 28.42) h in the observation group and (171.67 ± 32.13) h in the control group,respectively; and the differences were statistically significant (t =5.472 3,12.201 3;P ＜0.01).In the observation group,the duration of mechanical ventilation was (6.05 ± 3.17)d,the length of hospital stay was (32.22 ± 10.13) d and the per capita hospital costs was (8.17 ± 3.23) ten thousand yuan,and then those in the control group were (10.43 ± 4.98) d,(45.44 ± 12.17) d,(12.45 ± 5.67) ten thousand yuan,respectively,and the differences were statistically significant (t =3.995 5,4.496 0,3.532 1 ; P ＜ 0.05).The incidence of gastrointestinal complications and ventilator-associated pneumonia (VAP) in the observation group was less than that in the control group,and the difference was statistically significant (x2 =20.01,P ＜0.01).Conclusions The effect of NIT enteral nutrition is better than that of the traditional nasal feeding method applying in severe craniocerebral trauma patients with mechanical ventilation. Key words: Craniocerebral trauma; Mechanical ventilation; Enteral nutrition; Nasointestinal tube; Nasal feeding
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