摘要
目的探讨针灸对重型颅脑损伤患者床边鼻肠管置管成功率及置管中并发症的影响。方法选取2015年6月～2017年7月我院重症医学科及神经外科60例需行肠内营养支持的重型颅脑损伤患者,床边徒手置入螺旋型鼻肠管,摄片观察置管后24、48、72 h管端的位置。按照在置管过程中有否针灸分为对照组、针灸组。统计分析两组病例的置管成功率及并发症发生率。结果 24、48、72 h对照组的置管成功率分别为6.7%(2/30)、40.0%(12/30)、80.0%(24/30),针灸组分别为40.0%、86.7%、96.7%,两组差异有统计学意义(P<0.05)。对照组反流的发生率为36.7%(11/30),针灸组为10.0%(3/30),两组差异有统计学意义(P<0.05)。结论针灸可显著提高螺旋型鼻肠管的置管成功率,缩短置管时间,并能在一定程度上减少反流的发生。
Objective To investigate the effect of acupuncture and moxibustion on the success rate and complications of bedside nasointestinal catheterization in patients with severe craniocerebral injury. Methods 60 patients with severe craniocerebral injury who needed enteral nutrition support in the Department of Critical Care Medicine and Neurosurgery of our hospital from June 2015 to July 2017 were enrolled. The spiral nasointestinal tube was placed by hand at the bedside. The position of the tube end was observed through film at 24 hours, 48 hours and 72 hours after the catheter was placed. According to whether there was acupuncture and moxibustion in the process of catheterization, the patients were divided into the control group and the acupuncture group. The success rate of catheterization and the incidence of complications in the two groups were statistically analyzed. Results The success rate of catheterization in the control group was 6.7%(2/30), 40.0%(12/30), and 80.0%(24/30) at 24 hours, 48 hours, and 72 hours, respectively. And the success rate of catheterization in the acupuncture was 40.0%, 86.7% and 96.7%, and the difference between the two groups was statistically significant(P<0.05). The incidence of reflux in the control group was 36.7%(11/30), and that in the acupuncture group was 10.0%(3/30). The difference between the two groups was statistically significant(P<0.05). Conclusion Acupuncture and moxibustion can significantly improve the success rate of catheterization of spiral nasointestinal tubes, shorten the time of catheterization, and reduce the occurrence of reflux to a certain extent.
作者
吴建华
黄思思
汪晓波
倪步烤
李俊纬
严玲微
WU Jianhua;HUANG Sisi;WANG Xiaobo;NI Bukao;LI Junwei;YAN Lingwei(Department of Critical Care Medicine, Wenzhou Central Hospital in Zhejiang Province, Wenzhou 325000, China;Department of Acupuncture and Moxibustion, Wenzhou Central Hospital in Zhejiang Province, Wenzhou 325000, China)
出处
《中国现代医生》
2019年第7期102-105,共4页
China Modern Doctor
基金
浙江省中医药科学研究基金项目(2016ZB119)
浙江省温州市公益性科技计划项目(Y20170750)
关键词
针灸
重型颅脑损伤
鼻肠管
并发症
Acupuncture and moxibustion
Severe craniocerebral injury
Nasointestinal tube
Complications
