数字减影血管造影下置入三腔空肠喂养管在基层医院的应用  

Application of three lumen jejunal feeding tube under digital subtraction angiography in grass-roots hospitals

作　　者：倪文文 王洁 方馥肖 马海青 王先法[3] NI Wenwen;WANG Jie;FANG Fuxiao(Department of External Medicine,Deqing People's Hospital,Deqing 313200,China)

机构地区：[1]德清县人民医院外二科,浙江德清313200 [2]德清县人民医院手术室,浙江德清313200 [3]浙江大学医学院附属邵逸夫医院普外科

出　　处：《全科医学临床与教育》2022年第4期340-343,共4页Clinical Education of General Practice

基　　金：德清县科技计划项目(2018SK08)。

摘　　要：目的探究数字减影血管造影(DSA)下置入三腔空肠喂养管的应用效果。方法选取需进行肠内营养支持的60例患者,根据置管途径的不同分为观察组和对照组,每组30例。两组均在DSA引导下置入空肠管给予肠内营养,实验组采用三腔空肠喂养管置入,对照组采用鼻胃管加鼻空肠营养管置入。比较两组一次性置管成功率、置管时间、住院时间、负压日均引流量,置管前后生命体征变化,置管期间不良反应和患者满意度。结果实验组患者的一次性置管成功率100%,高于对照组86.67%,差异有统计学意义(χ^(2)=4.29,P<0.05);实验组置管时间、住院时间均短于对照组,实验组负压日引流量高于对照组,差异均有统计学意义(t分别=7.74、4.42、6.45,P均<0.05);置管后,实验组患者的收缩压、舒张压、心率、血氧饱和度波动水平均低于对照组(t分别=2.53、4.93、10.17、1.75,P均<0.05);实验组患者的反流、误吸,腹痛、腹胀、腹泻及堵管等不良反应发生率均低于对照组,差异均有统计学意义(χ^(2)分别=4.04、4.32、4.29,P均<0.05);实验组的患者满意度评分高于对照组,差异有统计学意义(t=5.64,P<0.05)。结论DSA引导下经鼻放置三腔空肠喂养管置管成功率高,喂养顺利,可缩短住院时间,且不良反应少,满意度高。Objective To explore the application of three lumen jejunal feeding tube under digital subtraction angiography(DSA).Methods A total of 60 patients who needed enteral nutrition support were divided into observation group and control group according to different catheterization routes,with 30 cases in each group.Both groups were given enteral nutrition by placing jejunal tube under the guidance of DSA.The experimental group was placed with three cavity jejunal feeding tube,and the control group was placed with nasogastric tube and nasojejunal nutrition tube.The success rate of one-time catheterization,catheterization time,hospital stay,negative pressure daily drainage volume,changes of vital signs before and after catheterization,adverse reactions during catheterization and patient satisfaction were compared between the two groups.Results The success rate of one-time catheterization in the observation group was 100%,which was higher than 86.67%in the control group(χ^(2)=4.29,P<0.05).The time of catheterization and hospital stay in the observation group were shorter than those in the control group,the negative pressure daily drainage volume in the observation group was higher than that in the control group,and the difference was statistically significant(t=7.74,4.42,6.45,P<0.05).After catheterization,the fluctuation levels of blood pressure,heart rate and blood oxygen saturation in the observation group were lower than those in the control group(t=2.53,4.93,10.17,1.75,P<0.05).The incidence of adverse reactions such as reflux,aspiration,abdominal pain,abdominal distension,diarrhea and tube blockage in the observation group were lower than those in the control group,and the difference was statistically significant(χ^(2)=4.04,4.32,4.29,P<0.05).The patient satisfaction score of the observation group was higher than that of the control group,and the difference was statistically significant(t=5.64,P<0.05).Conclusion DSA guided nasal placement of three chamber jejunal feeding tube has high success rate,shorter hospital s

关 键 词：数字减影血管造影 三腔空肠喂养管 肠内营养 胃肠减压 

分 类 号：R459.3[医药卫生—治疗学]