“执笔式”置管法联合温热水注入在超声引导下鼻空肠营养管置入中的应用效果研究  

The application of"pen"catheterization combined with warm water injection in ultrasound-guided naso-jejunal nutrition tube implantation

作　　者：李克佳[1] 肖跃飞[1] 高晓飞 汤莉琴 于俊叶[2] LI Kejia;XIAO Yuefei;GAO Xiaofei;TANG Liqin;YU Junye(Department of Nephrology,Aerospace Central Hospital,Beijing 100049,China;Nursing Department,Aerospace Central Hospital,Beijing 100049,China)

机构地区：[1]航天中心医院肾内科,北京市100049 [2]航天中心医院护理部,北京市100049

出　　处：《护理管理杂志》2024年第12期1045-1048,1071,共5页Journal of Nursing Administration

基　　金：航天中心医院青年创新课题(2022QN09)。

摘　　要：目的探讨“执笔式”置管法联合温热水注入在超声引导下鼻空肠营养管置入中的应用效果。方法采用便利抽样法选取2022年1月至12月北京市某三级医院肾内科重症监护室住院且需留置鼻空肠营养管的患者86例为研究对象,采用随机数字表法分为观察组40例,对照组46例。对照组采用传统直行推进式手法,观察组采用“执笔式”置管手法联合温热水注入,两组均使用床旁超声观察导管声影引导置入。比较两组置管成功率、一次送管到位率、置管时间、导管显影率、置管并发症发生率。结果观察组置管成功率、一次送管到位率、导管显影率均高于对照组(P<0.01或P<0.05),置管时间低于对照组(P<0.05),置管并发症发生率与对照组无统计学差异(P>0.05)。结论“执笔式”置管法联合温热水注入能提高鼻肠管置管成功率和一次送管到位率,缩短了置管时间,增加了超声下导管显影率,对置管相关并发症无影响,保障了危重症患者早期安全有效地实施肠内营养支持。Objective To investigate the effect of"pen"catheterization combined with warm water injection in ultrasound-guided nasojejunal nutrition tube placement.Methods A total of 86 patients hospitalized in the intensive care unit of the renal department of grade A tertiary hospital in Beijing from January 2022 to December 2022 who needed to have a naso-jejunal nutrition tube were selected as the study objects by convenience sampling.They were divided into observation group(40 cases)and control group(46 cases)by random number table method.The control group was treated with traditional linear propulsion technique,the observation group was treated with"pen"catheter placement technique combined with warm water injection.The catheter-guided implantation was observed by bedside ultrasound in both groups.The success rate of catheterization,rate of catheterization in place at one time,the time of catheterization,the rate of catheter development and the incidence of complications of catheterization were compared between the two groups.Results The success rate of catheterization,rate of catheterization in place at one time and the rate of catheter development in the observation group were higher than those in the control group(P<0.01 or P<0.05),the catheterization time was lower than that in the control group(P<0.05).There was no significant difference in the incidence of catheterization complications between the two groups(P>0.05).Conclusion The"pen"catheterization combined with warm water injection can improve the successful of catheterization rate and one time delivery rate,shorten operation time,increase rate of catheter development under ultrasound,it has no effect on complications and ensure the early safe and effective implementation of enteral nutrition support for critically patients.

关 键 词：超声引导 鼻空肠营养 置管法 护理 

分 类 号：R473.5[医药卫生—护理学]