可视化鼻肠管置入术在神经外科重症患者中的应用效果观察

杨林; 许彬; 吴娟; 毕立清; 冒萧萧; 镇坷; 侯慧; 徐修鹏

doi:10.7619/jcmp.20232475

可视化鼻肠管置入术在神经外科重症患者中的应用效果观察

Effect of visualized nasogastric tube placement in critically ill patients in department of neurosurgery

摘要

摘要:
目的观察可视化鼻肠管置入术在神经外科重症患者中的应用效果。
方法选取在神经外科重症监护室（ICU）接受鼻肠管置入治疗的107例患者作为研究对象，按不同鼻肠管置入方式分为可视组53例（通过可视化技术进行鼻肠管置入）和盲插组54例（通过传统盲插方式进行鼻肠管置入）。观察并比较2组患者首次置管成功率、置管时间和并发症发生率。
结果可视组首次置管成功率为96.23%，高于盲插组的81.48%，差异有统计学意义（P < 0.05）；可视组置管时间为（20.11±2.47）min，短于盲插组的（38.00±3.59）min，差异有统计学意义（P < 0.05）；2组并发症（鼻出血、消化道出血、导管误入气道）发生率比较，差异无统计学意义（P>0.05）。
结论对于神经外科重症患者而言，可视化鼻肠管置入术首次置管成功率高，置管时间短，且安全性较好。

Abstract:
Objective To observe the application effect of visual nasoenteric catheterization in severe neurosurgical patients.
Methods A total of 107 patients who received nasoenteric tube implantation in the neurosurgical intensive care unit (ICU) were selected. According to the nasoenteric tube implantation method, they were divided into visual group (underwent nasoenteric tube implantation by visual technique, n=53) and blind group (inserted by traditional blind insertion, n=54). The success rate of first catheterization, catheterization time and complication rate were observed and compared.
Results The success rate of first catheter placement in the visual group was higher than that in the blind group (96.23% versus 81.48%, P < 0.05). The catheter placement time in the visual group was (20.11±2.47)min, which was shorter than (38.00±3.59) min that in the blind group (P < 0.05). There was no significant difference in complication rate(nose bleeding, gastrointestinal bleeding, catheter straying into the airway) between the two groups (P>0.05).
Conclusion Visual nasoenteric catheterization has a higher success rate in the first catheterization and shorter catheterization time in severe neurosurgical patients, and it is a safer method.

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