首页|超声引导联合顶压手法在危重患者鼻肠管置入中的应用效果

超声引导联合顶压手法在危重患者鼻肠管置入中的应用效果

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目的 探讨超声引导联合顶压手法在危重患者鼻肠管置入中的应用效果.方法 选取2023年1月至6月蚌埠医科大学第一附属医院重症医学科收治的60例需留置鼻肠管的患者作为研究对象,并采用抽签法将其分为对照组和试验组,各30例.对照组采用常规超声引导下留置鼻肠管,试验组在常规超声引导鼻肠管置管的基础上进行手法改良.观察两组在置管成功率、置管时间、生命体征的变化、并发症的发生率方面的差异.结果 两组置管成功率比较,差异无统计学意义(P>0.05);试验组置管时间短于对照组(P<0.05);试验组心率、呼吸差异小于对照组(P<0.05);两组脉压及氧饱和度波动比较,差异无统计学意义(P>0.05);两组置管并发症比较,差异无统计学意义(P>0.05).结论 超声引导联合顶压手法在危重患者鼻肠管置入过程中安全可行,能减少护士操作时间,提高患者的舒适度,值得临床推广应用.
Application effect of ultrasound-guided combined with top pressure method in nasoenteric tube placement in critically ill patients
Objective To investigate the application of ultrasound-guided combined with top pressure method in nasoenteric tube placement in critically ill patients.Methods A total of 60 patients who needed indwelling nasoenteric tubes were selected from January to June 2023 in the Department of Critical Care Medicine,the First Affiliated Hospital of Bengbu Medical University as the research subjects,and they were randomly divided into control group and experimental group using a lottery method,with 30 cases in each group.The control group was placed nasoenteric tube under conventional ultrasound guidance,and the experimental group was modified on the basis of conventional ultrasound-guided nasoenteric tube placement.The differences in success rate,duration of catheterization,changes in vital signs,and incidence of complications were observed between the two groups.Results There was no significant difference in the success rate of catheterization between the two groups(P>0.05).The duration of indwelling tube in the experimental group was shorter than that in the control group(P<0.05),and the fluctuation of heart rate and respiration of vital signs in the experimental group was less than that in the control group(P<0.05),there was no significant difference in pulse pressure and oxygen saturation between the two groups(P>0.05).There was no significant difference in the complications of catheterization between the two groups(P>0.05).Conclusion Ultrasound-guided combined with top pressure method is safe and feasible in the process of nasoenteric tube placement in critically ill patients,which can reduce nurses'operation time and improve patient comfort,which is worthy of clinical application.

Ultrasound-guidedTop pressing methodCriti-cally ill patientsNasoenteric tube

童玲、徐杰、苏孟宇、陈莲芳、丁媛媛、段缓

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蚌埠医科大学第一附属医院重症医学科,安徽蚌埠 233004

蚌埠医科大学第一附属医院急诊外科,安徽蚌埠 233004

超声引导 顶压手法 危重患者 鼻肠管

安徽省2016年省级临床重点专科建设项目安徽省教育厅人文社科重点项目

卫科教秘201727号2022AH051409

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(27)
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