推进型鼻肠管在重症胰腺炎肠内营养中的应用研究  

Application of propulsion-type nasojejunal tube in severe acute pancreatitis

作　　者：冯凯祥[1] 杨培[1] 周孟君[1] 王秋蓉[1] 赵红[1] 董伟琼[1] 

机构地区：[1]四川省绵阳市中心医院内镜中心,四川绵阳621000

出　　处：《实用医院临床杂志》2014年第4期196-198,共3页Practical Journal of Clinical Medicine

基　　金：四川省绵阳市政府科技星火资助项目(编号:06S042-01;中国知识产权局专利号:ZL201120138117)

摘　　要：目的探讨推进型鼻肠管在重症胰腺炎肠内营养中的应用价值。方法 258例重症胰腺炎患者按随机数字表法分为推进空肠管组(试验组)、普通鼻空肠管组(直头组)和螺旋型空肠管组(螺旋组)各86例,均采取徒手盲插管法。结果试验组、直头组和螺旋组插管成功率分别为97.67%(84/86)、39.53%(34/86,)、67.44%(58/86),差异均有统计学意义(P<0.05),而试验组的成功率最高,与直头组和螺旋组比较,差异均有统计学意义(P<0.05)。三组置管舒适度、鼻黏膜充血及堵管差异无统计学意义(P>0.05)。结论推进空肠管置管方法简单而成功率却优于其他两组,临床使用舒适及安全性方面彼此相似。Objective To explore the application value of propulsion-type nasojejunal tube in severe acute pancreatitis.Methods Two hundred and fifty-eight patients with severe acute pancreatitis were randomly divided into 3 groups：experimental group（propulsion-type nasojejunal tube）,straight head group（common nasojejunal tube） and spiral group（spiral jejunum tube）,86 in each group.All cases were adopted a manual blind intubation.Results The success rate of intubation was 97.67%（84/86） in the experimental group,39.53%（34/86） in the straight head group and 67.44%（58/86） in the spiral group.The differences among the three groups were significant（P 〈 0.05） and the experimental group was superior to the other two groups.No statistical significance was found in the catheter comfort level,nasal mucosa hyperemia and tube plugging among the groups.Conclusion The propulsion-type nasojejunal tube has higher success rate and deserves further clinical applications.

关 键 词：推进型鼻空肠管 重症胰腺炎 前瞻性研究 

分 类 号：R576[医药卫生—消化系统]