床旁超声引导联合右侧卧位对重症患者鼻空肠营养管置管的临床效果  

Clinical Effect of Bedside Ultrasound Guidance Combined with Right Lateral Position on Nasojejunal Nutrition Tube Placement in Critically Ill Patients

作　　者：梁本禧 梁天英 廖伟燕 林婷 Liang Ben-xi;Liang Tian-ying;Liao Wei-yan;Lin Ting(Xiaolan Hospital Affiliated to Southern Medical University,Zhongshan 528415,Guangdong Province,China)

机构地区：[1]南方医科大学附属小榄医院,广东中山528415

出　　处：《中外医药研究》2023年第4期35-37,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：中山市医学科研项目(编号:2020A020410)。

摘　　要：目的:研究床旁超声引导联合右侧卧位对重症患者鼻空肠营养管置管的临床效果。方法:选取2020年3月—2021年12月南方医科大学附属小榄医院ICU收治的需行鼻空肠营养管置管患者64例为研究对象,按照置管方案的不同分成两组,其中对照组29例,研究组35例。对照组开展常规鼻空肠营养管置管,研究组实施床旁超声引导联合右侧卧位鼻空肠营养管置管,比较置管前后患者心率、平均动脉压(MAP)、经皮血氧饱和度(SPO2),置管情况及并发症发生率。结果:置管后,研究组患者心率和MAP低于对照组,差异具有统计学意义(P<0.05),两组患者SpO2水平比较,差异无统计学意义(P>0.05)。研究组患者置管时间短于对照组,一次置管成功率、总置管成功率高于对照组,差异具有统计学意义(P<0.05);研究组患者并发症总发生率低于对照组,差异具有统计学意义(P=0.010)。结论:床旁超声引导联合右侧卧位在重症患者鼻空肠营养管置管中应用可减轻相应刺激,提高置管成功率,缩短置管时间,减少并发症。Objective:To study the clinical effect of bedside ultrasound guidance combined with right lateral position on nasojejunal nutrition tube placement in critically ill patients.Methods:Sixty-four patients who were admitted to the ICU of Xiaolan Hospital Affiliated to Southern Medical University from March 2020 to December 2021 and needed nasojejunal nutrition tube placement were selected as the study objects.They were divided into two groups according to different intubation schemes,including twenty-nine cases in the control group and thirty-five cases in the study group.The control group underwent conventional nasojejunal nutrition tube placement,and the study group performed bedside ultrasound guidance combined with right decubitus nasojejunal nutrition tube placement.The heart rate,mean arterial pressure(MAP),saturation of peripheral oxygen(SPO2),catheterization status and incidence of complications were compared before and after catheterization.Results:After catheterization,the heart rate and MAP of the study group were lower than those of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in SpO2 levels between the two groups(P>0.05).The intubation time of the patients in the study group was shorter than that in the control group,and the success rate of one-time intubation and the total intubation success rate were higher than those in the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the study group was lower than that in the control group,and the difference was statistically significant(P=0.010).Conclusion:The application of bedside ultrasound guidance combined with right lateral position in the placement of nasojejunal nutrition tube in critically ill patients can reduce the corresponding stimulation,improve the success rate of catheterization,shorten the time of catheterization,and reduce complications.

关 键 词：床旁超声引导 右侧卧位 重症 鼻空肠营养管置管 

分 类 号：R47[医药卫生—护理学]