摘要
目的比较不同鼻空肠管置管方法在机械通气患者中应用的安全性和有效性。方法采用随机数字表法,将福建省某三级甲等医院重症医学科2015年3月1日—2017年8月31日收治的机械通气需放置鼻空肠管患者分为A、B、C三组,三组分别采用平卧位法(A组)、头前屈位法(B组)和头后仰位法(C组)进行鼻空肠管置管,记录胃内置入时间、胃至空肠置入时间和置入成功例数。结果 C组胃内置入时间明显短于A组和B组(P<0.01),B组胃至空肠置入时间明显短于A组和C组(P<0.01)。三组胃内置入成功率和空肠置入成功率比较,差异无统计学意义(P>0.05)。结论采用头后仰位法,鼻空肠管呈螺旋运动通过咽喉部时间最短;采用匀速不间断推进法鼻空肠管置入成功率较高,有利于机械通气患者早期肠内营养途径的建立。
Objective To compare the safety and efficacy of different methods for nasal jejunum tube placement in patients with mechanical ventilation. Methods From March 1,2015 to August 31,2017,patients with mechanical ventilation needed nasal jejunum tube placement were randomly divided into three groups,and three groups were provided with supine position（Group A）,head forward flexion（Group B） and head back position（Group C）,and nasal jejunum tubes were inserted by the same person. Time of reaching stomach,time of stomach to jejunum,and number of successful cases were recorded. Results In Group C,time of reaching stomach was significantly shorter than that in Group A and Group B（P〈0.01）,time of stomach to jejunum in Group B was significantly shorter than that in Group A and Group C（P〈0.01）. There were no statistically significant differences among three groups in number of successful cases in stomach and in jejunum（P〉0.05）. Conclusion The method of head elevation and head back position is easy for nasal jejunum tube to pass through the throat with spiral movement;right lateral position together with uniform continuous advancing of nasal jejunum tube can have higher successful rate,which is conducive to the establishment of early enteral nutrition in patients with mechanical ventilation.
作者
郭燕梅
林雁娟
邵菲
李茜
GUO Yaumei;LIN Yanjuan;SHAO Fei;LI Xi
出处
《中华护理杂志》
CSCD
北大核心
2018年第5期558-561,共4页
Chinese Journal of Nursing
基金
国家临床重点专科建设(国卫办医函[2013]544号)
关键词
鼻空肠管
机械通气
肠内营养
Naso-Jejunal Tube
Mechanical Ventilation
Enteral Nutrition
