电磁导航系统引导定位在床旁空肠营养管留置中的应用研究
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摘要
目的:探讨于床旁空肠营养管留置中采用电磁导航系统引导定位的临床效果。方法:采用数表法随机选取190例床旁空肠营养管留置患者,将其分为治疗组(97例)和对照组(93例)。对照组采用床旁盲插空肠营养管;治疗组采用电磁导航系统引导定位床旁空肠营养管留置法。比较两组患者在肠内营养后的置管成功率、置管时间、体征恢复时间、满意度和并发症的发生情况。结果:对照组的置管成功率为83.8%,治疗组的置管成功率为97.9%,治疗组显著高于对照组,其差异有统计学意义(x~2=11.53,P<0.05)。治疗组的置管时间和体征恢复时间显著短于对照组。治疗组的满意度为97.9%,对照组的满意度为80.6%,治疗组显著高于对照组,其差异有统计学意义(x~2=87.87,P<0.05)。结论:电磁导航系统引导定位应用于床旁空肠营养管留置可以提高置管成功率,利于患者的体征恢复,具有较高的临床应用价值。
Objective: To discuss the clinical effect of adopting electromagnetic navigation system to guide the positioning in the indwelling bedside jejunal nutrient tube. Methods: 190 patients with indwelling of bedside jejunal nutrient tube were randomly selected and were randomly divided into treatment group(97 cases) and control group(93 cases). The bedside jejunal nutrient tube with blind insertion was implemented in control group, while the indwelling of bedside jejunal nutrient tube that was positioned by the guidance of electromagnetic navigation system was implemented in treatment group. The success rate of catheterization, catheterization time, recovery time of signs, satisfaction and complications of the two groups post enteral nutrition were compared. Results: The success rate of catheterization of treatment group(97.9%) was significantly higher than that of treatment group(83.8%)(x~2=11.53, P<0.05). And the catheterization time and recovery time of signs were significantly shorter than that of control group. Besides, the satisfaction of treatment group(97.9%) was significantly higher than that of control group(80.6%)(x~2=87.87, P<0.05). Conclusion: The application of electromagnetic navigation system in guiding positioning for bedside jejunal nutrient tube can enhance the success rate of catheterization, and benefit to recover the signs of patient, and it has a higher application value in clinical practice.
Objective: To discuss the clinical effect of adopting electromagnetic navigation system to guide the positioning in the indwelling bedside jejunal nutrient tube. Methods: 190 patients with indwelling of bedside jejunal nutrient tube were randomly selected and were randomly divided into treatment group(97 cases) and control group(93 cases). The bedside jejunal nutrient tube with blind insertion was implemented in control group, while the indwelling of bedside jejunal nutrient tube that was positioned by the guidance of electromagnetic navigation system was implemented in treatment group. The success rate of catheterization, catheterization time, recovery time of signs, satisfaction and complications of the two groups post enteral nutrition were compared. Results: The success rate of catheterization of treatment group(97.9%) was significantly higher than that of treatment group(83.8%)(x~2=11.53, P<0.05). And the catheterization time and recovery time of signs were significantly shorter than that of control group. Besides, the satisfaction of treatment group(97.9%) was significantly higher than that of control group(80.6%)(x~2=87.87, P<0.05). Conclusion: The application of electromagnetic navigation system in guiding positioning for bedside jejunal nutrient tube can enhance the success rate of catheterization, and benefit to recover the signs of patient, and it has a higher application value in clinical practice.
引文
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[13]刘玉琪,何鲤穗,谭国良,等.电磁显像辅助床旁鼻空肠营养管放置技术在危重患者中的应用[J].中华危重病急救医学,2013,25(3):171-173.
[2]王雯婷,何丽琴,沈梅芬,等.神经外科患者营养支持医护合作现状及影响因素分析[J].护理学杂志,2017,32(20):25-28.
[3]潘娟,王春燕,罗志华.神经外科危重患者早期肠内营养的护理[J].山西医药杂志,2015(5):600-601.
[4]陈星,葛亚明,王洁.神经外科危重患者留置鼻空肠管肠内营养的护理研究进展[J].中国实用护理杂志,2017,33(z1):92-94.
[5]井文婷,吴玉燕,张博,等.神经外科危重症患者盲插鼻肠管86例分析[J].人民军医,2017(9):905-907.
[6]李琳.注水法床旁盲插小肠营养管在神经外科的应用[J].中国药物与临床,2015,15(9):1329-1331.
[7]张萱,向明芳,周华丽,等.电磁导航定位法在危重患者留置鼻空肠营养管中的应用[J].中华护理杂志,2015,50(7):824-827.
[8]沈如婷,李培,王新颖,等.电磁定位导航法在危重病人留置鼻肠管中的应用[J].护理研究,2017,31(1):110-112.
[9]李大伟,帅维正,张萍,等.免疫肠内营养联合生长激素肠外与肠内营养,2015,22(6):355-358.
[10]欧阳斐,许美霞,杨涛,等.早期肠内营养对大面积脑梗死患者继发感染及预后的影响[J].中华危重病急救医学,2016,28(10):940-942.
[11]万海涛,平君,杨志勇.脑外科重症病人肠内营养相关并发症分析[J].肠外与肠内营养,2006,13(1):16-18.
[12]肖建国,周飞虎,刘辉,等.电磁定位导航仪指导鼻空肠营养管置管的临床探索[J].解放军医学杂志,2015,40(10):833-836.
[13]刘玉琪,何鲤穗,谭国良,等.电磁显像辅助床旁鼻空肠营养管放置技术在危重患者中的应用[J].中华危重病急救医学,2013,25(3):171-173.