危重症患者内镜引导下可视化鼻肠管置管方法及效果
Method and effects of endoscope-guided visualized placement of nasoenteral feeding tubes in critically ill patients
刘晓玲 1刘恩红 2王雪纯 2孙亮 3曾雅妮 4白怡 5贾珊珊 6郑艳1
作者信息
- 1. 江汉大学附属医院武汉市第六医院护理部(湖北武汉,430015)
- 2. 江汉大学附属医院武汉市第六医院呼吸与危重症医学科(湖北武汉,430015)
- 3. 江汉大学附属医院武汉市第六医院重症医学科(湖北武汉,430015)
- 4. 江汉大学附属医院武汉市第六医院康复医学科(湖北武汉,430015)
- 5. 江汉大学附属医院武汉市第六医院神经内科(湖北武汉,430015)
- 6. 江汉大学附属医院武汉市第六医院肿瘤科(湖北武汉,430015)
- 折叠
摘要
目的 探索内镜引导下可视化鼻肠管置管在危重症患者中的应用效果.方法 将100例危重症患者按鼻肠管置管时间分为对照组和观察组各50例.对照组采用床旁盲插置入鼻肠管,观察组采用内镜引导下可视化置入鼻肠管.结果 观察组首次置管成功率显著高于对照组,置管耗时显著短于对照组,置管过程中患者平均动脉压、心率、血氧饱和度波动显著小于对照组(均P＜0.05),观察组患者大便潜血、鼻腔黏膜出血及渗血、误入气道发生率显著低于对照组(均P＜0.05).结论 内镜引导下可视化鼻肠管置管可提高患者首次置管成功率,缩短置管时间,减少置管过程中患者血压、心率和血氧饱和度变化,降低置管并发症发生率.
Abstract
Objective To explore the application effect of endoscope-guided visualized placement of nasoenteral feeding tubes in criti-cally ill patients.Methods A total of 100 critically ill patients undergoing placement of nasoenteral feeding tubes were divided into a control group and an experimental group chronologically,with 50 patients in each group.The control group were placed nasoenteral feeding tubes utilizing bedside blind placement,while the experimental group used endoscope-guided visualized placement.Results The first-attempt success rate of tube placement in the experimental group was significantly higher than that in the control group,its duration of tube placement was significantly shorter,and its fluctuations of average arterial pressure,heart rate,and oxygen saturation during the tube placement were significantly less than those in the control group(all P＜0.05).And the incidences of fe-cal occult blood,nasal mucosa bleeding,nasal mucosa oozing,and accidental tracheal entry in the experimental group were signifi-cantly lower than those in the control group(all P＜0.05).Conclusion Endoscope-guided visualized placement of nasoenteral fee-ding tubes can increase the first-attempt success rate,shorten the duration of tube placement,reduce the fluctuations in average ar-terial pressure,heart rate,and oxygen saturation during the placement process,and decrease the incidence of complications related to tube placement.
关键词
危重症患者/肠内营养/鼻肠管/内镜/可视化置管/内镜图谱/大便潜血/鼻腔黏膜出血Key words
critically ill patients/enteral nutrition/nasoenteral feeding tubes/endoscope/visualized placement of tubes/endoscopic atlas/fecal occult blood/nasal mucosal bleeding引用本文复制引用
出版年
2024
NETL
NSTL
万方数据