超声引导下成人鼻肠管留置术  

Ultrasound-Guided Indwelling of Nasal and Intestinal Tubes in Adults

作　　者：彭超[1] 刘敏[1] 范德俊 向晓光 韩振中 秦程 Peng Chao;Liu Min;Fan Dejun;Xiang Xiaoguang;Han Zhenzhong;Qin Cheng(Department of Emergency and Critical Care Medicine,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China)

机构地区：[1]三峡大学第一临床医学院[宜昌市中心人民医院]急危重症医学科,湖北宜昌443003

出　　处：《巴楚医学》2023年第1期4-6,共3页Bachu Medical Journal

基　　金：湖北省自然科学基金项目(No:2019CFB313)。

摘　　要：肠内营养在重症患者的治疗中起到重要作用,然而重症患者在早期肠内营养期间容易出现喂养不耐受。指南建议对于有进食不耐受或误吸高风险的患者应选择后幽门途径插管。鼻肠管是危重患者肠内营养的主要方法之一,目前常用的留置方法为床边盲插法,具有无创、方便的特点,但无法对导管位置进行直视判断。随着重症护理超声技术的运用,超声引导下进行鼻空肠管的置入,可实时监测导管尖端的位置,减少不良反应的发生,显著提高留置管成功率和患者满意度。Enteral nutrition plays an important role in the treatment of severe patients,who are prone to feeding intolerance during early enteral nutrition.Guidelines suggest that patients with feeding intolerance or high risk of aspiration should choose posterior pyloric intubation.Nasoenteric tube is one of the main methods of enteral nutrition for critically ill patients.At present,the commonly used indwelling method is bedside blind insertion,which is non-invasive and convenient,but it is not possible to judge the position of the catheter directly.With the application of ultrasound technology in intensive care,ultrasound-guided nasojejunal tube indwelling can be used to monitor the position of catheter tip in real time,reduce the adverse reactions,and significantly improve the success rate of indwelling catheter and patient satisfaction.

关 键 词：超声引导 鼻肠管留置 肠内营养 

分 类 号：R445.1[医药卫生—影像医学与核医学]