改良式徒手盲视鼻空肠管置入术在ICU机械通气患者中的应用效果-现代医学

改良式徒手盲视鼻空肠管置入术在ICU机械通气患者中的应用效果

作者：何彬

单位：华中科技大学协和深圳医院 ICU, 广东深圳 518052

分类号：R473

出版年·卷·期（页码）：2020·39·第八期（1065-1069）

摘要：

目的：探讨改良式徒手盲视鼻空肠管置入术在ICU机械通气患者的应用效果。方法：选取2018年1月—2018年12月我院综合ICU需要采用鼻空肠管喂养的100例机械通气患者，运用改良式徒手盲视鼻空肠管置入术置管：悬吊送管—三部听诊—葡萄糖含量测试定位，总结一次置管成功率、总成功率、葡萄糖含量测试定位准确率及并发症。结果：100例患者一次置管成功率为82%，置管总成功率达100％，葡萄糖含量测试定位准确率为95%，置入过程及置管后均无严重并发症。结论：运用改良式徒手盲视鼻空肠管置入术置管成功率高、并发症少，为机械通气患者实施肠内营养提供了安全有效的方法。

Objective: To investigate the effect of improved blind nasointestinal tube implantation in patients with mechanical ventilation in ICU.Methods: From January to December in 2018,100 patients with mechanical ventilation who need to be fed with nasal jejunum tube in our hospital were selected, who received modified open-handed blind visual nasal jejunal tube placement: the positioning was determined via suspension pipe-three auscultation-glucose test. The success rate, total success rate, glucose content test accuracy and complications were summarized.Results: The success rate of one catheterization was 82%, the total success rate of catheterization was 100%, the accuracy rate of glucose content test and location was 95%, and there were no serious complications during the implantation and after the catheterization.Conclusion: The improved blind nasointestinal tuber insertion has a high success rate and fewer complications, which is a safe and effective method for patients with mechanical ventilation to perform enteral nutrition.

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