超声引导联合水气混合注射法在急性重症胰腺炎患者鼻肠管置入中的应用  

Application of ultrasonography combined with hybrid water-air injection for insertion of nasojejunal tubes in patients with acute severe pancreatitis

作　　者：万香玉 潘月帅 姜金花 王程[1] 高娜[1] 张娜[1] 林辉[1] Wan Xiangyu;Pan Yueshuai;Jiang Jinhua;Wang Cheng;Gao Na;Zhang Na;Lin Hui(Department of Critical Care Medicine,the Affiliated Hospital of Qingdao University,Qingdao 266003,Shandong,China)

机构地区：[1]青岛大学附属医院重症医学科,山东青岛266003

出　　处：《中国中西医结合急救杂志》2021年第5期570-573,共4页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

摘　　要：目的探讨超声引导联合水气混合注射法在重症胰腺炎患者鼻肠管放置中的应用效果。方法选择2018年4月至2019年10月在青岛大学附属医院重症医学科住院且需留置鼻肠管的81例重症胰腺炎患者作为研究对象,随机分为对照组(40例)和观察组(41例)。对照组采用超声引导联合注水法留置鼻肠管;观察组采用超声引导联合水气混合注射法留置鼻肠管。比较两组患者的置管成功率、鼻肠管显影率、置管时间及置管过程中的注水量。结果观察组的鼻肠管显影率明显高于对照组〔95.12%(39/41)比75.00%(30/40)〕,置管时间较对照组明显缩短〔min:54.0(38.0,72.0)比79.5(49.0,100.0)〕,置管过程中的注水量明显少于对照组(mL:96.66±24.17比191.62±56.32),差异均有统计学意义(均P<0.05);但两组患者的置管成功率比较差异无统计学意义〔95.12%(39/41)比87.50%(35/40),P>0.05〕。结论超声引导联合水气混合注射法留置鼻肠管能显著提高重症胰腺炎患者超声下鼻肠管显影率,缩短置管时间,同时能减少置管过程中的注水量,减轻重症胰腺炎患者的胃肠负担,有利于患者恢复。Objective To investigate the effects of ultrasonography combined with water-air injection for insertion of nasojejunal tubes in patients with acute severe pancreatitis.Methods A total of 81 acute severe pancreatitis patients who needed nasojejunal tubes were enrolled in the Affiliated Hospital of Qingdao University from April 2018 to October 2019.These patients were randomly divided into control group(40 cases)and observational group(41cases).Ultrasonography combined with water injection was used to assist insertion of nasojejunal tubes in the control group while ultrasonography combined with water-air injection was adopted in the observational group.The successful rate of catheterization,the nasojejunal tube echo contrast rate,the catheterization time,and the amount of water injection in the catheterization process were compared.Results The nasojejunal tube echo contrast rate in the observation group was significantly higher than that in the control group[95.12%(39/41)vs.75.00%(30/40)],the catheterization time was significantly shorter than that in the control group[minute:54.0(38.0,72.0)vs.79.5(49.0,100.0)],the amount of water injection during catheterization was significantly lower than that in the control group(mL:96.66±24.17 vs.191.62±56.32),and the differences were statistically significant(all P<0.05).However,there was no significant difference in the successful rate of catheterization between the two groups[95.12%(39/41)vs 87.50%(35/40),P>0.05].Conclusions Ultrasonography combined with water-air injection can significantly improve the nasojejunal tube echo contrast rate and shorten the time of insertion.At the same time,it can reduce the amount of water injection during the catheterization process,reduce the gastrointestinal burden of patients with acute severe pancreatitis,and faciliate to the rehabilitation of patients.

关 键 词：超声 鼻肠管 重症胰腺炎 水气混合注射法 

分 类 号：R47[医药卫生—护理学]