Investigation And Intervention Study Of Gastric Retention In Patients With Severe Neurosis Through Nasogastric Enteral Nutrition

Objective1 To investigate the incidence of gastric retention and its risk factors in patients with neurological severe gastrocnemius enteral nutrition.2 Develop appropriate interventions based on relevant risk factors to explore whether this intervention can effectively reduce the risk of gastric retention in patients with neurological severe enteral nutrition.Methods1 From December 2017 to May 2018,the sampling method was used to extract 360 patients with neurological severe nasogastric enteral nutrition admitted to the neurological intensive care unit of a tertiary general hospital from Zhengzhou.According to whether the amount of residues in the stomach-exceeds 200ml,the patients were divided into two groups:gastric retention and non-retention.The differences between the two groups in general conditions and related risk factors were compared to explore the risk factors for gastric retention.2 From June 201-8 to December 2018,the sampling method was used to extract 84 patients with neurological severe nasogastric enteral nutrition admitted to the neurological intensive care unit of a tertiary general hospital from Zhengzhou.The patients were-divided into the-control group according to the random number table.In the intervention group,42 patients in each group were given routine nursing care.On the basis of this,the observation group started targeted nursing intervention according to the relevant risk factors of gastric retention.3 Data were statistically processed using SPSS 21.0 software.The chi～square test was used to compare the count data The measurement data were analyzed by t test,with mean ± standard deviation(x±s)and multivariate analysis was performed by logistic regression analysis.P<0.05 was statistically significant.(1)from March 2017 to December 2018,84 patients were randomly divided into two groups,42 patients in each group.Results1 In this investigation,360 patients with neurological severe nasogastric enteral nutrition showed gastric retention,and the incidence of gastric retention was 59.44%,of which 75.23%(161 cases)occurred within 1 week after onset,2 Gastric retention occurred in the week,acccunting for 24.77%(53 cases).2 There was no significant difference in the gender,height and weight of patients with gastric retention and gastric retention without comparing the general data(P>0.05).3 Single-factor and multi-factor analysis showed that age,history of shock,pathogenesis of brain stem,disease involving autonomic nerve,Glasgow coma score,hypokalemia,hyponatremia,abnormal blood glucose,mechanical ventilation,hypothermia treatment etc.It is a risk factor for gastric retention in-patients with neurological severe nasogastric enteral nutrition(P<0.05).4 For intervention group,the specific intervention provided to astric retention in patients with neurological and severe nasogastric was based on risk factor.For compared group,the intervention including prevention of gastric retention,aspiration and monitoring of gastric retention,observation of the disease,routine health education,etc.Among the 42 patients in the two groups,8 patients in the control group had gastric retention,the incidence rate was 19.05%;2 patients in the observation group showed stomach.The incidence of retention was 4.76%;the incidence of gastric retention was significantly reduced(χ2=4.086,P=0.043)5 After the intervention,the levels of al bumin and albumin in-the observation group were significantly higher than those in the control group(P<0.05)Conclusion1 Nerve severe disease patients with nasogastric enteral nutrition have a higher risk of gastric retention,and older,have a history of shock,the location of the brain stem,disease involving autonomic nerve,low GCS score,hypokalemia,hyponatremia,Patients with abnormal blood glucose,mechanical ventilation,and mild hypothermia have a higher risk of gastric retention.2 Nursing staff grasp the risk factors of gastric retention,actively take effective care to prevent it,and develop individualized nutrition strategies for patients,which can effectively-reduce the incidence of prevention of gastric retention and promote the recovery of patients.