床旁超声引导下留置鼻肠管在重症卒中患者中的应用效果  

Application effects of bedside ultrasound-guided indwelling nasointestinal tube in patients with severe stroke

作　　者：邱淑芬 QIU Shufen(Department of Neurology of Nanyang Second General Hospital,Nanyang 473000 Henan,China)

机构地区：[1]南阳市第二人民医院神经内科监护室,河南南阳473000

出　　处：《中国民康医学》2024年第23期156-158,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察床旁超声引导下留置鼻肠管在重症卒中患者中的应用效果。方法:回顾性分析2021年9月至2023年9月该院收治的66例重症卒中患者的临床资料,根据鼻肠管留置方法不同将其分为观察组和对照组各33例。对照组采用床边盲插法留置鼻肠管,观察组采用床旁超声引导下留置鼻肠管。比较两组一次性置管成功率、置管相关指标(置管成功时间、到达胃部时间、通过幽门时间)水平、置管时生命体征(呼吸频率、心率、收缩压、舒张压)和置管不良事件发生率。结果:观察组一次性置管成功率为100.00%(33/33),高于对照组的75.76%(25/33),差异有统计学意义(P<0.05);观察组置管成功时间、到达胃部时间、通过幽门时间均短于对照组,差异有统计学意义(P<0.05);观察组置管时呼吸频率、心率、舒张压、收缩压水平均低于对照组,差异有统计学意义(P<0.05);观察组置管不良事件发生率为6.06%(2/33),低于对照组的24.24%(8/33),差异有统计学意义(P<0.05)。结论:床旁超声引导下留置鼻肠管应用于重症卒中患者可提高一次性置管成功率,改善置管相关指标水平,维持置管时生命体征稳定,降低置管不良事件发生率,效果优于床边盲插法留置鼻肠管。Objective:To observe application effects of bedside ultrasound-guided indwelling nasointestinal tube in patients with severe stroke.Methods:The clinical data of 66 patients with severe stroke admitted to this hospital from September 2021 to September 2023 were retrospectively analyzed.According to the different methods of nasointestinal tube indwelling,they were divided into observation group and control group,33 cases in each group.The control group was treated with bedside blind indwelling nasointestinal tube,while the observation group was treated with bedside ultrasound-guided indwelling nasointestinal tube.The one-time catheterization success rate,the catheterizationrelated indicators(success time of catheterization,time to reach the stomach,time to pass the pylorus)levels,the vital signs(respiratory rate,heart rate,systolic blood pressure,diastolic blood pressure),and the incidence of adverse events during catheterization were compared between the two groups.Results:The one-time catheterization success rate in the observation group was 100.00%(33/33),which was higher than 75.76%(25/33)in the control group,and the difference was statistically significant(P<0.05).The success time of catheterization,the time to reach the stomach and the time to pass the pylorus in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The levels of respiratory rate,heart rate,diastolic blood pressure and systolic blood pressure in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of adverse events during catheterization in the observation group was 6.06%(2/33),which was lower than 24.24%(8/33)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The bedside ultrasound-guided indwelling nasointestinal tube in the patients with severe stroke can improve the one-time catheterization success rate,improve the levels of catheterizati

关 键 词：重症 卒中 床旁超声引导 床边盲插法 留置鼻肠管 一次性置管成功率 生命体征 置管不良事件 

分 类 号：R473.6[医药卫生—护理学]