Analysis of the impact of monitoring and nursing of gastric residual volume on the incidence of complications during early enteral nutrition support in patients with severe traumatic brain injury
胃残余量的监测护理对重型颅脑损伤患者早期肠内营养支持时的并发症发生率的影响分析

摘要

目的 探讨胃残余量监测护理在重型颅脑损伤患者早期肠内营养支持中的作用及其对并发症的效果。方法 选取2022年1月至2024年1月间，我院接收的重型颅脑损伤并实施早期肠内营养支持的68例患者，随机分为对照组（接受常规护理）与观察组（加施胃残余量监测护理），每组34例。比较两组患者的营养改善情况及并发症发生概率。结果 干预实施前，两组营养水平相近（P＞0.05）。干预后，观察组患者的营养指标显著提升，优于对照组，且并发症发生率明显低于对照组，差异均具有统计学意义（P＜0.05）。结论 对重型颅脑损伤患者实施早期肠内营养支持时，结合胃残余量监测护理，能更有效地提升患者营养状况，降低并发症风险，具有较高的临床应用价值。

Abstract

Objective To explore the role of gastric residual monitoring nursing in early enteral nutrition support for patients with severe traumatic brain injury and its effect on complications.
Methods Sixty eight patients with severe traumatic brain injury who received early enteral nutrition support in our hospital between January 2022 and January 2024 were randomly divided into a control group (receiving routine care) and an observation group (receiving gastric residual monitoring care), with 34 patients in each group. Compare the nutritional improvement and incidence of complications between two groups of patients.
Results Before the intervention, the nutritional levels of the two groups were similar (P>0.05). After intervention, the nutritional indicators of the observation group patients were significantly improved, better than the control group, and the incidence of complications was significantly lower than that of the control group, with statistical significance (P<0.05).
Conclusion   When implementing early enteral nutrition support for patients with severe traumatic brain injury, combined with monitoring and nursing of gastric residual capacity, it can more effectively improve the patient's nutritional status, reduce the risk of complications, and has high clinical application value.