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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

实用临床医药杂志2023,Vol.27Issue(22):13-16,23,5.
实用临床医药杂志2023,Vol.27Issue(22):13-16,23,5.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

杨林 1许彬 1吴娟 1毕立清 1冒萧萧 1镇坷 1侯慧 2徐修鹏1

作者信息

  • 1. 南京医科大学第一附属医院神经外科重症监护病区,江苏南京,210003
  • 2. 南京医科大学第一附属医院普外胃外科二病区,江苏南京,210003
  • 折叠

摘要

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 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.

关键词

可视化/置管/鼻肠管置入术/神经外科/重症监护室/并发症

Key words

visualization/indwelling catheter/naso-intestinal catheterization/neurosurgery-department/intensive care unit/complication

分类

医药卫生

引用本文复制引用

杨林,许彬,吴娟,毕立清,冒萧萧,镇坷,侯慧,徐修鹏..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[J].实用临床医药杂志,2023,27(22):13-16,23,5.

基金项目

国家自然科学基金项目(82203767) (82203767)

南京医科大学内涵建设专项护理学优势学科资助项目(南医大护[2022]26号) (南医大护[2022]26号)

实用临床医药杂志

OACSTPCD

1672-2353

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