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床旁徒手留置空肠管术联合肛管减压法在严重多发伤中的应用

Application of bedside freehand indwelling jejunal tube combined with anal canal decompression in severe multiple injuries

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目的 探究床旁徒手留置空肠管术联合肛管减压法对严重多发伤患者营养状态、预后的影响.方法 回顾性分析 90 例本院2020 年 7 月至 2023 年 7 月收治的严重多发伤患者资料,按患者的置管意愿及置管成功与否分为 3 组,即A组(n=30)行鼻胃管肠内营养,B组(n=30)行鼻肠管肠内营养,C组(n=30)行床旁徒手留置空肠管术联合肛管减压法后喂养.比较干预前后患者营养状况及实验室检查结果以及预后情况.结果 C组PA、Hb水平较A组、B组升高,而WBC、PCT较A组、B组降低(P<0.05);C组脓毒症、MODS发生率以及 28d病死率较A组、B组更少(P<0.05).结论 床旁徒手留置空肠管术联合肛管减压法可以改善严重多发伤患者营养状态、实验室检查结果,降低营养风险,利于患者预后.
Objective To explore the effect of bedside freehand indwelling jejunal tube combined with anal canal decompression on nutri-tional status and prognosis of patients with severe multiple injuries.Methods The data of 90 patients with severe multiple injuries who admitted in our hospital from July 2020 to July 2023 were collected for retrospective analysis.Patients were divided into three groups according to the aspiration and success of cathetering:the group A(n=30)received nasogastric enteral nutrition,the group B(n=30)received nasoenteral nutrition,and the group C(n=30)received bedside freehand indwelling jejunal tube combined with anal canal decompression feeding.The nutritional status,laboratory results and prognosis were compared before and after intervention.Results The levels of PA and Hb in group C were higher than those in group A and group B,but WBC and PCT were lower than those in group A and group B(P<0.05).The incidence rates of sepsis,multiple organ dysfunction syn-drome(MODS),and 28-day mortality in group C were lower than those in group A and group B(P<0.05).Conclusion Bedside freehand indwelling jejunal tube combined with anal canal decompression can improve nutritional status and laboratory results of patients with severe multiple injuries,re-duce nutritional risk,and facilitate the prognosis of patients.

Severe multiple injuriesBedside freehand indwelling jejunal tubeAnal canal decompressionNutritional statusPrognosis

陈春文、林左传、吴海雁

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325400 平阳,温州医科大学附属平阳医院

严重多发伤 床旁徒手留置空肠管术 肛管减压法 营养状况 预后

温州市科技计划

Y20220619

2024

浙江创伤外科
温州医学院

浙江创伤外科

影响因子:0.884
ISSN:1009-7147
年,卷(期):2024.29(3)
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