학술논문
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
Document Type
Academic Journal
Author
Source
实用临床医药杂志 / Journal of Clinical Medicine in Practice. 27(22):13-23
Subject
Language
Chinese
ISSN
1672-2353
Abstract
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.
Objective To observe the application effect of visual nasoenteric catheterization in severe neurosurgical patients.Methods A total of 107 patients who received nasoenteric tube im-plantation 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 com-pared.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 bleed-ing,catheter straying into the airway)between the two groups(P＞0.05).Conclusion Visual naso-enteric catheterization has a higher success rate in the first catheterization and shorter catheterization time in severe neurosurgical patients,and it is a safer method.
Objective To observe the application effect of visual nasoenteric catheterization in severe neurosurgical patients.Methods A total of 107 patients who received nasoenteric tube im-plantation 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 com-pared.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 bleed-ing,catheter straying into the airway)between the two groups(P＞0.05).Conclusion Visual naso-enteric catheterization has a higher success rate in the first catheterization and shorter catheterization time in severe neurosurgical patients,and it is a safer method.