新型X线引导下经鼻空肠置管在重症胰腺炎早期肠内营中的应用研究  

Evaluation of putting nasointestinal bube to jejunum guided by digital gastrointestinal machine in severe acute pancreatitis′ early enteral nutrition

作　　者：王孙建[1] 卢简言[1] 吴东[1] 

机构地区：[1]福建医科大学附属协和医院,福建福州350001

出　　处：《吉林医学》2011年第28期5879-5882,共4页Jilin Medical Journal

摘　　要：目的:探索安全、高效、低痛苦的X线引导下经鼻空肠置管法,并了解其在重症急性胰腺炎治疗中的意义及优势。方法:将86例X线引导下经鼻空肠置管与25例经口胃镜引导下置鼻肠管的置管前后的心率、血压、呼吸波动,以及置管时恶性、呕吐、胸闷、气促、眩晕发生率进行比较。结果:86例X线引导下置管均取得成功,其四个对照组内导管通过情况均呈显著差异(P<0.05);X线引导下置管与经口胃镜引导下置管相比,二者置管前后心率、血压、呼吸的波动以及置管时恶性、呕吐、胸闷、气促、心眩晕发生率均呈显著差异(P<0.05)。结论:新型X线引导下经鼻空肠置管法解决了以往X线透视下置管难点,且较胃镜引导下置管更舒适、更安全,实现高效、安全、低痛苦经鼻空肠置管,大大降低SAP患者置管身体机能要求,使其能及时地早期空肠营养,改善预后。Objective To explore the efficient,safe and lower painful way of putting jejunal tube through nose guided by digital gastrointestinal machine,and to know its significance and advantages.Method There were 86 cases of severe acute pancreatitis（SAP） putted jejunal tube through nose guided by digital gastrointestinal machine.Compared that 86 cases′fluctuation of heart rate,blood pressure,respiratory with that of 25 cases which was instaled tube guided by gastroscope,and compared the former′s rate of nausea,vomiting,chest tightness,shortness of breath,dizziness with the later′s.Results Each group of contrastive tests contained in the 86 cases was significantly different（P0.05）,86 cases′ fluctuation of heart rate,blood pressure,respiratory was weaker than that of the 25 cases,which was installed guided by gastroscope.The former′srate of nausea,vomiting,chest tightness,shortness of breath,dizziness was lower than the later′s（P0.05）.Conclusion The new way of putting the jejunum tube guided by digital gastrointestinal machine is efficient,safe and lower painful method.And it will reduce the need of patients′ physical function level when we install the tube.Andenable the patients to be putted jejunal tube timely,to get jejunal nutrition early.At last,it reduces the rate of SAP′S complications,improves its prognosis

关 键 词：X线 鼻肠管 放置 空肠 胰腺炎 

分 类 号：R576[医药卫生—消化系统]