The Effect Of The Timing Of Gastric Tube Placement On Patients With Noninvasive Positive Pressure Ventilation And Abdominal Distension

Objective: The purpose of this paper is to investigate the effect of the timing of gastric tube implantation on gastrointestinal function,nutritional status and infection of patients with NIPPV,and provide references for the standardization and optimization of the clinical NIPPV nursing process.Methods: This study was a randomized,controlled clinical trial to assess the effect of the timing of gastric tube placement on patients with NIPPV and abdominal distension.Patients were randomly divided into the treated group and the control group according to the timing of gastric tube placement on patients with abdominal distension.The two groups' degree of abdominal distention,gastrointestinal function,nutritional status and infection of patients were compared.Then Blood gas analysis,vital signs,circulatory parameters and the peripheral blood(CRP,PCT,NKA)were calculated in each group and compared between two groups.Results: No statistically signifcant difference in sex,age were found between each groups.Compared with the group of treated and control,the cases and the degree of abdominal distension decreased significantly in the treated group.In addition,since most patients with COPD are accompanied by malnutrition,we also observed whether enteral nutrition can improve the nutritional status of patients.The results showed that the nutritional status of the patients could be significantly improved by the timely treatment of enteral nutrition.Conclusions: Our study showed that early retention of gastric tube could significantly reduce the incidence of abdominal distension and improve the patient's abdominal distention,and improve the intestinal function of patients.With the improvement of intestinal function,the incidence of abdominal distension has been decreased and nutritional status improved,but there was no direct link between abdominal distension and infection.