经鼻内镜放置小肠营养管应用于昏迷患者136例  

Endoscopically placement of feeding tube to small bowel via nose in 136 coma patients

作　　者：劳溢权[1] 杜国平[1] 欧阳同伟[1] 卢莘生[1] 郭希高[1] 吴清华[1] 李国华[1] 王敏[1] 

机构地区：[1]广东省佛山市顺德第一人民医院消化科,528300

出　　处：《中华普通外科杂志》2005年第10期647-648,共2页Chinese Journal of General Surgery

摘　　要：目的探讨内镜经鼻安置营养管的安全性和临床应用价值。方法采用经鼻内镜途径为136例患者安置小肠营养管。结果内镜置管时间平均为5min。与操作前比较,操作过程中及术后2h,内镜置管对深昏迷组的患者的心率、呼吸、平均动脉压、心电图及血氧饱和度等影响不大;对浅昏迷组的患者,表现为操作时心率、呼吸加快(t=3.902,P<0.05);术后2h,上述异常恢复术前水平。结论在心电监护下,内镜经鼻安置营养管术是安全、简单、实用的。Objective To evaluate endoscopically insertion of feeding tube via nose （EIFFN）. Method Jejunal feeding tube was placed endoscopieally via the nose in all 136 coma patients. Results This procedure was successful in all patients. The procedure took an average time of 5 minutes. In patients with deep coma,the procedure had no influence on HR, MAP, ECG and SaO2 ; In semicoma patients, HR and R increased during the procedure （ t = 3. 902, P 〈 0. 05 ）, which lasted for 2 hours. Conclusions Under ECG monitoring EIFFN is safe, simple and practical.

关 键 词：肠营养 内窥镜 鼻 营养管 

分 类 号：R459.3[医药卫生—治疗学]