两种小肠管置管技术在ICU脑功能障碍患者的应用分析  

Analysis of the application of two kinds of nasointestinal feeding tube intubation techniques in patients with ICU brain dysfunction

作　　者：陆智炜 王庆宇 赵群 杨淑莹 蔡继明 LU Zhiwei;WANG Qingyu;ZHAO Qun;YANG Shuying;CAI Jiming(Intensive Care Unit,The Second Affiliated Hospital of Jiaxing University,Jiaxing 314000,Zhejiang,China)

机构地区：[1]嘉兴市第二医院ICU,浙江嘉兴314000

出　　处：《中国现代医生》2023年第35期6-8,22,共4页China Modern Doctor

基　　金：浙江省卫生健康委适宜技术培育与推广项目(2021ZH007);嘉兴市科技局公益类项目民生科技创新专项项目(2019AD32141)。

摘　　要：目的 探讨不同置管技术对重症加强护理病房(intensive care unit,ICU)脑功能障碍患者的疗效。方法 按照随机数字表法将51例符合条件的患者分为传统盲插组(n=26)和超声引导组(n=25),采用首次置管成功率、最终置管成功率、置管时间、是否有并发症等评估置管的疗效。结果 超声引导组比传统盲插组有更高的首次置管成功率(P<0.05);两组一般资料、最终置管成功率、置管时间、并发症发生率等差异均无统计学意义(P>0.05)。结论 两种鼻小肠管置入技术在ICU脑功能障碍患者中均安全、有效,超声引导下置管能提高首次置管成功率,有更好的效率。Objective To observe the effect of different Nasointestinal feeding tube catheterization techniques on patients with ICU brain dysfunction.Methods Totally 51 patients were divided into the traditional blind intubation group(26 cases)and the ultrasound guided group(25 cases)according to the random number table.The efficacy of catheterization was evaluated using first catheterization success rate,final catheterization success rate,catheterization time,and complications.Results The ultrasound guided catheterization group has a higher success rate for the first catheterization compared to the traditional blind insertion group;There was no statistically significant difference in general information,final catheterization success rate,catheterization time,and incidence of complications between the two groups.Conclusion The two kinds of nasogastric tube placement techniques are safe and effective in patients with ICU brain dysfunction,ultrasound guided catheterization can improve the success rate of first catheterization and have better efficiency.

关 键 词：鼻小肠管 超声定位 盲法置管 脑功能障碍 

分 类 号：R743[医药卫生—神经病学与精神病学]