螺旋型鼻肠管联合鼻胃管建立幽门后营养途径的方法  

Method of spiral nasointestinal tube combined with nasogastric tube to establish the posterior pyloric nutrient pathway

作　　者：祝秀荣 付怀栋 ZHU Xiu-Rong;FU Huai-Dong(Department of Nursing,Huishan Traditional Chinese Medicine Hospital,Wuxi 214177,Jiangsu,China)

机构地区：[1]无锡市惠山区中医医院护理部,江苏无锡214117 [2]无锡市惠山区中医院重症医学科,江苏无锡214177

出　　处：《吉林医学》2022年第4期1103-1106,共4页Jilin Medical Journal

摘　　要：目的:探讨螺旋型鼻肠管联合鼻胃管床旁盲插置管建立幽门后营养途径的方法。方法:选择2019年5月~2021年4月重症监护病房收治的有高误吸风险的患者116例,随机分为对照组(58例)和观察组(58例),对照组应用单根螺旋型鼻肠管行经鼻空肠置管,观察组应用螺旋型鼻肠管联合鼻胃管行经鼻空肠置管。比较两组的置管成功率、首次置管成功率、鼻肠管置入胃内时间、置管成功病例耗时和置管并发症发生情况。结果:观察组患者置管成功率和首次置管成功率分别为84.5%和24.1%,高于对照组的60.3%和8.6%,差异均有统计学意义(P<0.05或P<0.01)。观察组鼻肠管置入胃内时间和置管成功病例耗时分别为(4.40±1.86)min和(33.43±12.34)min,低于对照组的(6.67±2.28)min和(44.56±12.56)min,差异均有统计学意义(P<0.01)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:螺旋型鼻肠管联合鼻胃管床旁盲插置管可以提高置管成功率、缩短置管成功的时间,且无严重不良反应,可以作为一种置管方法在临床应用。Objective To explore the method of spiral nasointestinal tube combined with nasogastric tube bedside blind placement to establish the posterior pyloric nutrient pathway.Method 116 patients with the risk of mistaken aspiration admitted to the intensive care unit from May 2019 to April 2021 were randomly divided into control group(58 cases)and observation group(58 cases).The control group received nasojejunal catheter with a single spiral nasointestinal tube,while the observation group received nasojejunal catheter with spiral nasointestinal tube combined with nasogastric tube.The success rate of the catheterization and the first catheterization,the time of nasointestinal tube insertion into the stomach,the time of successful catheterization,and the incidence of complications were compared between the two groups.Results The success rate of catheterization and the first catheterization in the observation group were 84.5% and 24.1%,respectively,which were significantly higher than those in the control group 60.3%and 8.6%(P<0.05 or P<0.01).The time of nasointestinal tube insertion into the stomach and the time of successful catheterization in the observation group were(4.40±1.86)minutes and(33.43±12.34)minutes,respectively,which were lower than that in the control group(6.67±2.28)minutes and(44.56±12.56)minutes(P<0.01).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Spiral nasointestinal tube combined with nasogastric tube bedside blind catheterization can improve the success rate of catheterization,shorten the successful time of catheterization,and without serious adverse reactions,which can be used as a method of catheterization in clinical application.

关 键 词：螺旋型鼻肠管 鼻胃管 床旁盲插置管 并发症 

分 类 号：R472[医药卫生—护理学]