首页|床边电磁导航下放置鼻肠管在老年病人中的应用和成功因素分析

床边电磁导航下放置鼻肠管在老年病人中的应用和成功因素分析

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目的:探讨在老年病人中床边电磁导航下放置鼻肠管的安全性和有效性,探索置管成功相关因素.方法:回顾性分析2021年6月1日至2024年1月31日在东部战区总医院普通外科进行的老年病人床边电磁导航下鼻肠管置管操作记录,对置管相关指标及置管成功相关因素进行统计分析.结果:共纳入163例老年病人,总置管成功率为87.7%,平均置管时间为(18.5±18.9)min,平均置管长度为(104.6±9.8)cm,置管相关并发症发生率为1.8%.置管成功相关因素有慢性病作为主诊断(P=0.0196),术前放置胃管(P=0.0060)和术前使用促胃肠动力药(P=0.0268).结论:床边电磁导航下放置鼻肠管对于老年病人是一种高效并安全的幽门后置管方法.慢性病人置管成功率高.术前放置胃管和术前使用促胃肠动力药可能有助于置管.
Application and success factor analysis of placing nasointestinal tube under bedside electromagnetic navigation in elderly patients
Objective:To explore the safety and effectiveness of placing nasointestinal tubes under bedside electromagnetic navigation in elderly patients,and to investigate the factors related to successful nasointestinal tube placement.Method:A retrospective analysis was conducted on the records of all elderly patients undergoing nasointestinal tube placement under bedside electromagnetic navigation at General Hospital Of Eastern Theater Command from June 1,2021 to January 31,2024.Statistical analysis was performed on the relevant indicators of the placement tube and the factors related to successful placement.Result:A total of 163 elderly patients were included,with a total success rate of 87.7%,an average placement time of(18.5±18.9)min,an average inserted nasal intestinal tube length of(104.6±9.8)cm,and a placement-related complications rate of 1.8%.The factors related to successful placement include chronic disease as the main diagnosis(P=0.0196),preoperative placement of a gastric tube(P=0.0060),and preoperative use of prokinetic drugs(P=0.0268).Conclusion:Placing nasointestinal tubes under bedside electromagnetic navigation is an efficient and safe method for placing nasointestinal tubes in elderly patients.The success rate of placement in chronic patients is higher.Preoperative placement of a gastric tube and use of prokinetic drugs may help with tube placement.

Elderly patientsBedside electromagnetic navigation deviceNasointestinal tubePlacement methodEnteral nutrition

王浩阳、高学金、古丽苏杜姆·麦提阿卜拉、章黎、史益凡、王新颖

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南京大学医学院附属金陵医院/东部战区总医院普通外科研究所,江苏 南京 210002

老年病人 床边电磁导航仪 鼻肠管 置管方法 肠内营养

2024

肠外与肠内营养
南京军区南京总医院,解放军普通外科研究所

肠外与肠内营养

CSTPCD北大核心
影响因子:1.974
ISSN:1007-810X
年,卷(期):2024.31(6)