B超监视联合胃内注气法在神经外科危重患者鼻空肠管留置中的应用  

Application of B-ultrasound monitoring plus gastric insufflation for nasointestinal tube indwelling in critical neurosurgical patients

作　　者：郁慧杰[1] 徐小琴[1] 许嵩翱 许俊[1] 徐明民[1] 曹伟中[1] 

机构地区：[1]嘉兴市第一医院EICU,浙江省314000

出　　处：《中华医学杂志》2015年第7期527-529,共3页National Medical Journal of China

摘　　要：目的 观察B超监视联合胃内注气法在神经外科危重患者鼻空肠管留置中的应用价值.方法 2013年1月至2014年9月嘉兴市第一医院重症医学科将有鼻空肠管放置指征的神经外科危重昏迷患者随机分为常规组（A组）、胃内注气组（B组）和B超监视联合胃内注气组（C组）,其中A组32例,B组31例,C组33例.观察3组患者置管24h内及72 h时鼻空肠管所在位置.结果 3组患者一般资料的比较差异无统计学意义（P＞0.05）.3组患者鼻空肠管在24 h内通过幽门的比例分别为43.8％,74.2％和93.9％.C组与A组及B组比较,差异均有统计学意义（x2=19.21和4.73,P＜0.05）.72 h时鼻空肠管通过幽门的比例分别为68.8％,83.9％和100％,C组与A组及B组比较,差异均有统计学意义（x2=12.19,5.77,P＜0.05）.结论 鼻空肠管置管方法的进一步改进,B超监视联合胃内注气法提高了置管成功率,有较好的推广应用价值.Objective To explore the application of B-ultrasound monitoring plus gastric insufflation for nasointestinal tube indwelling in critical neurosurgical patients.Methods A total of 96 critical comatose neurosurgical patients indicated for nasointestinal tube indwelling were randomized into three groups of routine （A,n =32）,gastric insufflation （B,n =31） and B-ultrasound monitoring plus gastric insufflation （C,n =33）.And the position of nasointestinal tube was observed within 24 h and at 72 h in three groups.Results The general profiles of three groups showed no significant differences （P ＞ 0.05）.The proportions of nasointestinal tube passing pylorus within 24 h in three groups were 43.8％,74.2％ and 93.9％ respectively.Comparing group C with groups A and B,the differences presented statistical significance.The proportions of nasointestinal tube passing pylorus at 72 h in three groups were 68.8％,83.9％ and 100％ respectively.Comparing group C with groups A and B,the differences had statistical significance.Conclusion Refined method of nasointestinal tube indwelling and B-ultrasound monitoring may boost the rate of successful indwelling.It is worth wider promotion and application.

关 键 词：超声检查 危重病 鼻空肠管 

分 类 号：R651[医药卫生—外科学]