精细化分点式阅片在盲插鼻肠管后腹部X线片判断中的应用研究  

Study on the effect of fine point reading method applied to the judgment ofblind insertion of nasointestinal tube X-ray

作　　者：华美芳 林瑞端 梁成强[2] 孙瑾[1] 陈莉[1] 王伦 郑雪 蔡雪萍 HUA Meifang;LIN Ruiduan;LIANG Chengqiang;SUN Jin;CHEN Li;WANG Lun;ZHENG Xue;CAI Xueping(Department of Neurosurgery,Zhongshan Hospital,Xiamen University,Xiamen,Fujian 361004,China;Department of nutrition,Zhongshan Hospital,Xiamen University,Xiamen,Fujian 361004,China)

机构地区：[1]厦门大学附属中山医院神经外科,福建厦门361004 [2]厦门大学附属中山医院营养科,福建厦门361004

出　　处：《重庆医学》2023年第18期2815-2819,共5页Chongqing medicine

基　　金：福建省厦门市重要重大疾病联合攻关项目(3502Z20179046)。

摘　　要：目的 探讨精细化分点式阅片法应用于盲插鼻肠管后腹部X线片的阅片效果。方法 选取2019年1月至2021年12月该院神经外科因病情需要留置鼻肠管进行肠内营养的124例患者为研究对象,按照留置鼻肠管时间分为试验组(n=61)和对照组(n=63)。试验组采取精细化分点式阅片法进行盲插鼻肠管后腹部X线片的阅片,对照组采取传统直观的盲插鼻肠管后腹部X线片的阅片方法。比较两组阅片成功率、护理会诊率、恢复喂食时间、二次X线片拍摄情况。结果 试验组阅片成功率高于对照组,护理会诊率少于对照组,恢复喂食时间短于对照组,差异均有统计学意义(P<0.05),试验组二次X线片拍摄患者百分比低于对照组,但差异无统计学意义(P>0.05)。结论 精细化分点式阅片法应用于盲插鼻肠管后腹部X线片的阅片,能有效提高阅片的成功率,减少护理会诊次数,缩短恢复喂养时间。Objective To discuss the effect of film reading after the application of the fine point film reading method to the golden-standard X-ray film for the blind insertion of the nasointestinal tube.Methods A total of 124 patients who needed the indwelling of the nasointestinal tube for enteral nutrition because of their condition in the Department of Neurosurgery of this hospital from January 2019 to December 2021 were selected as the research objects.They were divided into the experimental group(61 cases)and the control group(63 cases)according to the time of indwelling nasointestinal tubeby.For the experimental group,the fine point film reading method was used to read the abdominal X-ray films after blind insertion of the nasointestinal tube.For the control group,the traditional intuitive abdominal X-ray photography after blind insertion of the nasointestinal tube was used for film reading.The success rateof film reading,the number of nursing consultations,the time of feeding recovery and the second X-ray photography were compared between the two groups.Results The success rate of film reading in the experimental group was higher than that in the control group,the rate of nursing consultations was lower than that in the control group,and the time of feeding recovery was shorter than that in the control group,and all the differences were statistically significant(P<0.05).The percentage of the second X-ray photography in the experimental group was smaller than that in the control group,but it was not statistically significant(P>0.05).Conclusion The application of the fine point film reading method to the blind insertion of the nasointestinal tube can effectively increase the success rate of film reading,reduce the number of nursing consultations,shorten the time of feeding recovery of patients.

关 键 词：鼻肠管 X线片 精细化 阅片 标准 

分 类 号：R459.3[医药卫生—治疗学]