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预测儿童鼻空肠管置入的深度

Predicting the distance for nasojejunal tube insertion in children.

作者信息

Ellett M L, Beckstrand J

机构信息

School of Nursing, Indiana University, Indianapolis, USA.

出版信息

J Soc Pediatr Nurs. 2001 Jul-Sep;6(3):123-32. doi: 10.1111/j.1744-6155.2001.tb00134.x.

DOI:10.1111/j.1744-6155.2001.tb00134.x
PMID:11529601
Abstract

ISSUES AND PURPOSE

As no consistent predictor of insertion tube distance has been determined for intestinal feeding tubes and fluoroscopic placement is very expensive, this study sought a reliable method of blind placement.

DESIGN AND METHODS

This cross-sectional study measured the internal distance from the lip to the pylorus in 387 children undergoing upper gastrointestinal endoscopy and compared those measurements to the external distances measured from the nose around the ear to the 10th rib and lip around the ear to the 10th rib.

RESULTS

Regression equations using height fitted in four age groups were the best predictors of the internal pyloric distances.

PRACTICE IMPLICATIONS

Predicting this distance with height may help healthcare providers be more successful in blind placement of intestinal feeding tubes. A table of predicted nasointestinal tube insertion distances is included.

摘要

问题与目的

由于尚未确定肠道喂养管插入管距离的一致预测指标,且荧光镜引导下放置非常昂贵,本研究寻求一种可靠的盲插方法。

设计与方法

这项横断面研究测量了387名接受上消化道内镜检查的儿童从嘴唇到幽门的内部距离,并将这些测量值与从鼻子经耳朵到第10肋以及从嘴唇经耳朵到第10肋的外部距离进行比较。

结果

使用身高拟合的四个年龄组的回归方程是幽门内部距离的最佳预测指标。

实践意义

根据身高预测这一距离可能有助于医护人员在肠道喂养管盲插中取得更大成功。文中包含了预测鼻肠管插入距离的表格。

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