经胃镜黄斑马导丝引导下置入三腔喂养管对上消化道狭窄患者的治疗效果研究
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摘要
目的探讨黄斑马导丝引导下置入三腔喂养管对上消化道狭窄患者的应用效果。方法选取43例上消化道狭窄患者,随机分为A组(n=21,经胃镜活检孔插入鼠齿钳置入三腔喂养管)和B组(n=22,经黄斑马导丝引导下置入三腔喂养管),比较两组置管成功率、置管时间及相关并发症。结果A组置管时间为(27.43±6.68)min,高于B组置管时间[(8.95±2.54)min],差异有统计学意义(t=11.879,P<0.05)。A组一次置管成功率为57.1%(12/21),低于B组的置管成功率[95.5%(21/22)],差异有统计学意义(χ~2=6.820,P<0.05)。A组并发症发生率为42.9%(9/21),明显高于B组并发症发生率[13.6%(3/22)],差异有统计学意义(χ~2=4.560,P<0.05)。结论经胃镜黄斑马导丝引导三腔喂养管应用于上消化道狭窄患者置管时间短、成功率高、并发症少,值得临床推广使用。
Objective To investigate the efficacy of the placement of three cavity feeding tube guided by yellow zebra guide wire in stenosis in upper digestive tract stricture patients.Methods A total of 43 patients with narrow and distorted upper digestive tract were randomly divided into the group A(n=21,by rat tooth forceps)and group B(by yellow zebra guide wire).The placement successful rate,placement time and the related complications were compared between the two groups.Results The time of catheterization of group A was(27.43±6.68)min,which was longer than that of group B[(8.95±2.54)min],the difference was statistically significant(t=11.879,P<0.05).The placement successful rate of group B(95.5%)was significantly higher than that of group A(57.1%),the difference was statistically significant(χ~2=6.820,P<0.05).The rate of complication of group A was 42.9%,which was higher than that of group B(13.6%),the difference was statistically significant(χ~2=4.560,P<0.05).Conclusion The placement of three cavity feeding tube guided by yellow zebra guide wire in stenosis in upper digestive tract stricture patients is a safe and effective method,which could be widely used in clinic.
Objective To investigate the efficacy of the placement of three cavity feeding tube guided by yellow zebra guide wire in stenosis in upper digestive tract stricture patients.Methods A total of 43 patients with narrow and distorted upper digestive tract were randomly divided into the group A(n=21,by rat tooth forceps)and group B(by yellow zebra guide wire).The placement successful rate,placement time and the related complications were compared between the two groups.Results The time of catheterization of group A was(27.43±6.68)min,which was longer than that of group B[(8.95±2.54)min],the difference was statistically significant(t=11.879,P<0.05).The placement successful rate of group B(95.5%)was significantly higher than that of group A(57.1%),the difference was statistically significant(χ~2=6.820,P<0.05).The rate of complication of group A was 42.9%,which was higher than that of group B(13.6%),the difference was statistically significant(χ~2=4.560,P<0.05).Conclusion The placement of three cavity feeding tube guided by yellow zebra guide wire in stenosis in upper digestive tract stricture patients is a safe and effective method,which could be widely used in clinic.
引文
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[11]王丽,张予蜀,姜宗丹,等.经口和经鼻胃镜引导下鼻空肠管置入方式的比较及术中配合[J].护士进修杂志,2012,27(3):285-286.
[2]杨蕾.早期经口进食进行肠内营养在治疗急性重症胰腺炎中的效果分析[J].中国实用医药,2018,26(30):57-58.
[3]陈珺,潘江霞,何洪英,等.危重患者床旁留置鼻空肠营养管效果评价[J].护理学杂志,2018,33(14):86-88.
[4]康莉,李晶,王芳.鼻空肠管营养支持在食管癌术后护理中的应用研究[J].实用临床医药杂志,2017,21(14):94-96.
[5]李宾宾,关玉霞,吴楠,等.三腔喂养管在临床护理中的应用研究进展[J].护理研究,2017,31(12):1419-1422.
[6]陈培服,唐时元,曹钰.采用超声引导下导丝位移法对胃排空障碍危重患者置入三腔喂养管的经验分享[J].华西医学,2016,31(6):1023-1027.
[7]赵晓志,胡继春.经鼻胃镜、经口胃镜和X线3种不同的鼻空肠置管术的比较[J].河北医科大学学报,2015,36(5):568-570.
[8]沈光贵,姜小敢,鲁卫华,等.X线及内镜引导下放置鼻空肠营养管在危重患者中的应用效果比较[J].中国全科医学,2012,15(29):3396-3398.
[9]王庆淮,吴勋宁,谭宁,等.食管癌术后早期肠内营养治疗的临床研究[J].实用癌症杂志,2013,28(6):636-638.
[10]雍伟,徐红梅,李悦琳,等.经胃镜置入三腔喂养管治疗腹部肿瘤术后功能性胃排空障碍[J/CD].中华损伤与修复杂志(电子版),2012,7(5):550-551.
[11]王丽,张予蜀,姜宗丹,等.经口和经鼻胃镜引导下鼻空肠管置入方式的比较及术中配合[J].护士进修杂志,2012,27(3):285-286.