2种胃管放置方法在CT仿真小肠镜检查中的应用比较  

Comparison of two gastric tube insertion methods in patients undergoing computed tomographic virtual endoscopy

作　　者：李秀芬[1] 张杰[1] 

机构地区：[1]首都医科大学附属北京朝阳医院消化内科,100020

出　　处：《中国实用护理杂志（下旬版）》2009年第2期4-6,共3页Chinese Journal of Practical Nursing

基　　金：吴阶平医学基金会临床科研资助项目（320.6750.07138）

摘　　要：目的比较2种胃管放置方法在CT仿真小肠镜检查中的应用效果。方法将56例接受CT仿真小肠镜检查患者随机分为胃镜引导下放置胃管至十二指肠降部组（简称A组）21例和斑马导丝辅助下经鼻将胃管放置于十二指肠降部组（简称B组）35例，比较2组一次置管成功率及置管过程中不良反应的发生情况。进行χ^2检验。结果A组一次置管成功率33．3％，B组一次置管成功率82．9％，B组显著高于A组；置管过程中A组不良反应发生率显著高于B组。结论斑马导丝辅助下，经鼻放置胃管于十二指肠降部方法操作简便、省时，患者痛苦小，成功率高。Objective To compare the different effect of two gastric tube insertion methods in patients undergoing computed tomographic virtual endoscopy. Methods 56 patients undergoing computed tomograpbic virtual endoscopy were randomly divided into group A and B according to gastric tube insertion methods, group A inserted gastric tube to descending duodenum by gastroseope, group B inserted by Jag precursor via nose. One- time success rate and the incidence rate of side effect were compared between the two groups. χ^2 test was adopted. Results One- time success rate of group A and B was 33.3%, 82.9% respectively, with obvious statistic difference. The incidence rate of side effect of group A was higher than that of group B. Conclusions Inserting gastric tube to descending duodenum by Jag precursor via nose is convenient, time- saving,causing less pain and resulting in higher success rate.

关 键 词：CT仿真小肠镜 胃管 放置方法 

分 类 号：R574.504[医药卫生—消化系统] R322.4[医药卫生—内科学]