电磁显像辅助床旁鼻空肠营养管放置技术在危重患者中的应用

刘玉琪，何鲤穗，谭国良，孙旭日，陈志量.电磁显像辅助床旁鼻空肠营养管放置技术在危重患者中的应用[J].中华危重病急救医学,2014,25(3),171-173

肠内营养，电磁显像技术，鼻空肠营养管，危重病

刘玉琪，何鲤穗，谭国良，孙旭日，陈志量

泉州，福建医科大学附属第二医院重症医学院

2014

171-173

知网

目的评价电磁显像辅助库派鼻空肠营养管放置技术在重症监护病房(IC l)中应用的效果方法同顾性分析2010年1月至2012年9月本院ICU 109例行鼻空肠营养管置人术患者的临床资料，按置管技术和营养管类型分为3组:对照1组(48例)采用复尔凯营养管育视置管，对照2组(28例)采用库派营养管育视置管，观察组(33例)采用库派营养管电磁显像辅助置管比较3组置管成功率、置管次数、置管时间及安全性结果对照2组和观察组置管成功率明显高于对照I组(71.43 % , 90.91%比33.33%)，部分成功率和失败率明显低于对照1组(部分成功率:17.86%,3.030k比35.42%，失败率:I 0.7工%、6.06%比31.25%，均P< 0.05 ) ;而对照2组与观察组比较无明显差异观察组置管次数明显少于对照1组和对照2组(1.6土0.5比6.6士3.2 ,5.8士2.3，均尸< 0.05 ) ,巨置管成功者平均置管操作时间(m川)较对照1组和对照2组明显缩短(12.48士3.78比25.27士3.61, 23.58士4.87，均P< 0.05 );而对照1组和对照2组比较无明显差异3组患者均无严甭相关井发症发生结论电磁显像辅助库派鼻空肠营养管放置技术成功率高置管操作时间短、安全，且简单易学。 To a1L1a the Pffl。fan electrnmagnPtic r1PV ice for correct bedside placement of asojejunal feeding tube for patients in intPn:icP care unit}I(:L).Methods ThP、linical dat。of 109 patients in ICL+0ho accepted bedside nasojejunal feeding lohe placement from Januam 2010 to }PptenlhPr 2012 }cerP retrospectively analyzed. All the patients were divided into three groups according Lo the differenPe in t}-pe of n。jejunal feeding tube and the placement technique: control group 1 (n=48，Flocare feeding tube and bedside blind insP}t〔n group)、ontrol group 2(二=28，Corf7o) feeding tube and bedside blind insertion gs-oup)，observation group(n-33，Coiflo } feeding tube and electromagnetic tube placement device group).The success rate, the times of placement，duration of nasojejunal feeding, and safety were compared among three groups. Results The success rate of control group 2 and observation group were higher than control group I(71.43任，90.91钎cs. 33.330}c)，rate of partial success and ilure rate were lower than those of control group 1(partial success rate:17.86%，3.03% vs. 35.42%;failure rate: 10.71%，6.060}c vs. 31.25%.all P