标准超声图谱辅助四步定位法在ICU患者鼻肠管置管中的应用  

Application of standard ultrasound atlas assisted four-step positioning method in nasointestinal intubation for ICU patients

作　　者：邹灯秀[1] 熊杰[1] 邓娟[1] 黄素芳[1] 肖琦[1] Zou Dengxiu;Xiong Jie;Deng Juan;Huang Sufang;Xiao Qi(ICU,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院重症医学科,湖北武汉430030

出　　处：《护理学杂志》2022年第20期64-67,共4页Journal of Nursing Science

摘　　要：目的探讨标准超声图谱辅助四步定位法在ICU患者鼻肠管置管中的应用效果。方法选取需要留置鼻肠管的患者100例,按照时间顺序分为两组。对照组50例采用常规盲插法置入鼻肠管,观察组50例采用标准超声图谱辅助四步定位法置入鼻肠管。比较两组首次置管幽门通过率、首次成功置管耗时及操作过程中的并发症。结果观察组首次置管通过率显著高于对照组,首次成功置管耗时显著短于对照组(均P<0.05)。观察组并发症发生率低于对照组,但差异无统计学意义(P>0.05)。结论采用标准超声图谱辅助四步定位法留置鼻肠管成功率比盲插法高,操作时间短,并发症少,可作为重症患者早期肠内营养支持的有效途径。Objective To investigate the effect of applying standard ultrasound atlas assisted four-step positioning method in nasoin-testinal intubation for ICU patients.Methods A total of 100 ICU patients who needed an indwelling nasointestinal tube were selected and evenly divided into 2 groups by chronological order.The control group received nasointestinal intubation by using conventional blind insertion method,while the intervention group received the procedure by the standard ultrasound atlas assisted four-step positioning method.The rate of nasointestinal tube passing through pylorus at the first attempt,the time to successful placement at the first attempt,and the incidence rate of complications during the procedure,were compared between the two groups.Results The intervention group had significantly higher rate of nasointestinal tube passing through pylorus at the first attempt,and significantly shorter time to successful placement at the first attempt than the control group(all P<0.05).The former group also had lower incidence rate of complications during the procedure than the controls,though the difference between the 2 groups was not significant.Conclusion The standard ultrasonic atlas assisted four-step positioning method had higher success rate of nasointestinal intubation than blind insertion method.It also has shorter operation time and fewer complications,and can be used as an effective way to establish early enteral nutrition support for severe patients.

关 键 词：ICU患者 鼻肠管 超声引导 超声图谱 四步定位法 操作流程 

分 类 号：R471[医药卫生—护理学]