胃复安不同给药时间及不同体位对重症胰腺炎患者鼻空肠管置入成功率的临床研究  

Clinical Study on the Success Rate of Nasojejunal Tube Placement in Patients with Severe Pancreatitis with Different Administration Time and Different Positions of Metoclopramide

作　　者：黄凤香 HUANG Feng-xiang(Ganzhou People’s Hospital,Ganzhou,Jiangxi,341000,China)

机构地区：[1]赣州市人民医院,江西赣州341000

出　　处：《黑龙江医学》2022年第21期2670-2672,共3页Heilongjiang Medical Journal

基　　金：赣州市指导性科技计划项目(GZ2020ZSF129)。

摘　　要：目的:探究胃复安不同给药时间及不同体位对重症胰腺炎(SAP)患者鼻空肠管置入成功率的应用效果。方法:选择赣州市人民医院2018年2月—2020年10月收治的300例SAP患者作为研究对象,依据胃复安的不同给药时间分为胃复安(立即)组(以下简称立即组)及胃复安(30 min)组(以下简称30 min组),每组各150例。两组患者均行徒手盲插鼻空肠管,立即组患者于注射胃复安后,立刻摆放平卧位(75例)及右侧卧位(75例),30 min组患者于注射胃复安30 min后,取平卧位(75例)及右侧半卧位(75例)。比较两组患者置管成功率、置管并发症发生情况。结果:30 min组患者一次置管成功率为82.00%,二次置管成功率为12.00%,总置管成功率为94.00%,均高于立即组患者的58.00%、22.00%、80.00%,差异有统计学意义(χ^(2)=20.571,5.315,12.997,P<0.05)。30 min组患者并发症发生率为7.33%,低于立即组患者的15.33%,差异有统计学意义(χ^(2)=4.777,P<0.05)。结论:经肌肉注射10 mg胃复安30 min后,协助患者摆放右侧半卧位行床旁鼻空肠管置管术,有助于提高鼻空肠管置入成功率,减少反复置管次数,降低并发症发生率,可提高SAP救治成功率。Objective:To explore the effect of metoclopramide on the success rate of nasojejunal tube placement in patients with severe pancreatitis(SAP)with different administration time and different positions.Methods:A total of 300 SAP patients admitted to the hospital from February 2018 to October 2020 were selected as the research subjects.According to the different administration time of metoclopramide,they were divided into metoclopramide(immediate)group(hereinafter referred to as immediate group)and metoclopramide(30 min)group(hereinafter referred to as the 30 min group),with 150 cases in each group.Both groups underwent blind insertion of the nasojejunal tube with bare hands.After the injection of metoclopramide,the patients in the immediate group were placed in the supine position(75 cases)and the right lateral position(75 cases)immediately.After 30 min of metoclopramide injection,the patients in the 30 min group were placed in the supine position(75 cases)and the right semi-recumbent position(75 cases).The success rate of catheterization and the incidence of catheterization complications were compared between the two groups.Results:In the 30 min group,the success rate of one-time intubation was 82.00%,the second-intubation success rate was 12.00%,and the total intubation success rate was 94.00%,which were all higher than 58.00%,22.00%,and 80.00%of the immediate group,and the difference was statistically significant(χ^(2)=20.571,5.315,12.997,P<0.05).The incidence of complications in the 30 min group was 7.33%,which was lower than 15.33%in the immediate group,and the difference was statistically significant(χ^(2)=4.777,P<0.05).Conclusion:30 min after intramuscular injection of 10 mg metoclopramide,the patient was placed in the right semi-recumbent position for bedside nasojejunal tube placement,which was helpful to improve the success rate of nasojejunal tube placement,reduce the number of repeated tube placements,and reduce complications incidence rate to improve the success rate of SAP treatment.

关 键 词：重症胰腺炎 胃复安 平卧位 右侧半卧位 鼻空肠管置入 

分 类 号：R473.6[医药卫生—护理学]