重庆医学Issue(20)：2551-2553,3.DOI:10.3969/j.issn.1671-8348.2014.20.003
床旁内镜下无痛胃造瘘空肠置管术在SA P肠内营养中的研究
Application of painless gastrostomy under endoscop jejunal catheterization in enteral nutrition of severe acute pancreatitis in intensive care unit
摘要
Abstract
Objective To observe and compare the operation ,short-term therapeutic effect and long-term therapeutic effect be-tween painless gastrostomy under endoscopy and nasal-jejunal catheterization as well as to explore their clinical feasibility and clini-cal application .Methods 81 cases of patients with severe acute pancreatitis in the hospital ICU from May 2012 to September 2013 , were divided into gastrostomy jejunostomy group(43 cases)and nasojejunal feeding group(38 cases) .The operation time ,gastroin-testinal nutrition tube inner curvature ,removal rateetc were observed to calculate the success rate .Contrast ratio ,plugging rate and catheter related infection rate and several indexes were observed to evaluate the therapeutic effect of two groups of short-term infec-tion ofincision .long-term calculation of two groups with tube ,comfort score and nutritional indexes to evaluate the therapeutic effect index .Results The operation time ,the digestive tract inside area rate ,nutrition tube removal ,catheter related pulmonary infection rate ,average indwelling catheter time ,comfort ,nutrition index of the two groups had statistically significant (P<0 .05) ,plugging rate ,wound infection rate had no statistically significant (P>0 .05) .Conclusion With fewer complications and longer tube time , painless gastrostomy under endoscopy is safe ,simple and feasible ,which is easily accepted by patients .关键词
重症急性胰腺炎/鼻空肠管/胃造瘘/肠内营养Key words
severe acute pancreatitis/nasal-jejunal tube/gastrostomy/enteral nutrition分类
医药卫生引用本文复制引用
王川江,何发明,徐昉..床旁内镜下无痛胃造瘘空肠置管术在SA P肠内营养中的研究[J].重庆医学,2014,(20):2551-2553,3.基金项目
国家自然科学基金资助项目（81200054）；国家临床重点专科项目资助（2010）。 （）
