"鼻尖-耳垂-剑突与脐部连线中点"体表测量方法在1个月~7岁儿童鼻胃管置入临床应用效果研究  

Clinical application of the method of body surface measurement of "midpoint between tip of nose,earlobe,xiphoid process and umbilical cord" in the placement of nasogastric tube in children aged 1 month to 7 years

作　　者：张小兰[1] 潘俊慧[2] 江玉英 Zhang Xiaolan;Pan Junhui;Jiang Yuying(Otolaryngology Neurosurgery,Jiangxi Children's Hospital,Nanchang 330006,China;PICU,Jiangxi Children's Hospital,Nanchang 330006,China;Department of Orthopedics,Jiangxi Children Hospital,Nanchang 330006,China)

机构地区：[1]江西省儿童医院耳鼻咽喉神经外科,南昌330006 [2]江西省儿童医院PICU,南昌330006 [3]江西省儿童医院骨科,南昌330006

出　　处：《国际护理学杂志》2019年第21期3536-3540,共5页international journal of nursing

基　　金：江西省卫生计生委科技计划(20165483)。

摘　　要：目的探讨"鼻尖-耳垂-剑突与脐部连线中点"体表测量方法在1个月~7岁儿童鼻胃管置入临床应用效果.方法选取2016年5月~2017年7月PICU住院的1个月~7岁患儿采用随机方法分为对照组(29例)和观察组(32例).对照组患儿采取"鼻尖-耳垂-剑突"体表测量方法;观察组患儿采取"鼻尖-耳垂-剑突与脐部连线中点"体表测量方法,比较两组患儿胃管顶端通过贲门进入胃内、胃管侧孔全部进入胃内及胃管顶端抵达胃内有效位置的成功率.结果观察组患儿胃管顶端通过贲门进入胃内、胃管侧孔全部进入胃内及胃管顶端抵达胃内有效位置的成功率均高于对照组患儿,差异有统计学意义(P<0.05).结论"鼻尖-耳垂-剑突与脐部连线中点"体表测量方法优于"鼻尖-耳垂-剑突"体表测量方法,其鼻胃管置入长度更能准确到达指定位置,对临床经鼻胃管喂养、洗胃或胃肠减压都更加安全有效.Objective To investigate the clinical application of the method of body surface measurement of" midpoint between tip of nose,earlobe,xiphoid process and umbilical cord "in the placement of nasogastric tube in children aged 1 month to 7 years.Methods Children aged 1 month to 7 years who were hospitalized with PICU from May 2016 to July 2017 were selected.Randomly divided into the control group(29 cases)and the observation group(32 cases).Patients in the control group were measured on the body surface of "the nasal tip,earlobe and xiphoid process",while those in the observation group were measured on the body surface of the"midpoint of the line between nasal lip,earlobe,xiphoid process and umbilical cord".The success rate of the top of the gastric tube entering the stomach through the cardia,the side hole of the gastric tube entering the stomach,and the top of the gastric tube reaching the effective position in the stomach were compared between the two groups.Results In the observation group,the top of the gastric tube entered the stomach through the cardia,the side holes of the gastric tube all entered the stoniach,and the success rate of the top of the gastric tube reaching the effective position in the stomach was higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The method of body surface measurement at "the midpoint of the line between tip-earlobe-xiphoid process and umbilical cord" is superior to that of "tip-earlobe-xiphoid process".The length of the nasogastric tube can reach the designated position more accurately,which is more safe and effective for clinical feeding through the nasogastric tube and gastric lavage or gastrointestinal pressure reduction.

关 键 词：儿童 插管法 胃肠 X线 

分 类 号：R47[医药卫生—护理学]