Application effects of bedside ultrasound-guided indwelling nasointestinal tube in patients with severe stroke
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 catheterization-related 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 catheterization-related indicators,maintain the stability of vital signs during catheterization,and reduce the incidence of adverse events during catheterization. Moreover,it is superior to bedside blind intubation method for indwelling nasointestinal tube.
万方数据
维普
