ICU患者鼻肠营养管的选择和应用  

Analysis of the application effect of two kinds of naso-intestinal feeding tube in ICU patients

作　　者：罗玉珍[1] 李润华[1] 冼晓兰[1] 黎彦彤 

机构地区：[1]江门市中心医院重症医学科,广东江门529030

出　　处：《岭南现代临床外科》2016年第6期760-762,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的分析库派鼻肠营养管及复尔凯螺旋型鼻肠营养管盲视法置管在ICU患者中应用效果的对比。方法对2013年1月-2015年12月本院ICU 80例患者行鼻肠营养管盲视法置管进行回顾性分析,按营养管类型分为2组,观察组（库派鼻肠营养管）40例,对照组（复尔凯螺旋型鼻肠营养管）40例,比较2组一次置管成功率,二次置管成功率、置管失败率、成功置管所需时间。结果库派鼻肠营养管一次成功率高于复尔凯螺旋型鼻肠营养管（分别为87%和12.5%）,复尔凯螺旋型鼻肠营养管往往通过胃镜辅助下置管。库派鼻肠营养管置管时间为31.26±10.94 min,复尔凯螺旋型鼻肠营养管需要借助于胃动力作用到达十二指肠,时间为12.5±8.9 h。结论 ICU患者往往伴有胃动力功能障碍,选择鼻肠营养管进行肠内营养时,库派鼻肠营养管盲视法置管简单、成功率高、置管时间短。Objective To analysis the effect and feature of The Flocare Bengmark？Naso-Intestinal tube and CORTRAK？polyurethane tubes. Methods A total of 80 cases with naso-intestinaltube for enteral nutrition were selected and assigned to Locare Bengmark group（using The FlocareBengmark？Naso-Intestinal tube,n=40）and CORTRAK group（using CORTRAK polyurethane tube,n=40）. The effect and feature were analyzed. Results The patients in CORTRAK group showed a highsuccess rate（75%）and operate time was 31.26±10.94 min（P〈0.05）. Conclusion ICU patients areoften accompanied by gastric motility dysfunction. The enteral tube feeding,dependent of normal gastricmotility function such as the Flocare Bengmark Naso-Intestinal tube,should be replaced with CORTRAKpolyurethane tube.

关 键 词：库派鼻肠营养管 复尔凯螺旋型鼻肠营养管 ICU 

分 类 号：R473.6[医药卫生—护理学]