[使用电磁装置在危重症患者中插入床边鼻空肠喂养管]

[Use of an electromagnetic device for insertion of bedside nasojejunal feeding tube in critically ill patients].

作者信息

Liu Yu-qi, He Li-sui, Tan Guo-liang, Sun Xu-ri, Chen Zhi-liang

机构信息

Department of Critical Care Medicine, the Second Clinical Hospital of Fujian Medical University, Quanzhou, Fujian, China.

出版信息

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2013 Mar;25(3):171-3. doi: 10.3760/cma.j.issn.2095-4352.2013.03.013.

DOI:10.3760/cma.j.issn.2095-4352.2013.03.013

PMID:23656771

Abstract

OBJECTIVE

To evaluate the efficacy of an electromagnetic device for correct bedside placement of nasojejunal feeding tube for patients in intensive care unit (ICU).

METHODS

The clinical data of 109 patients in ICU who accepted bedside nasojejunal feeding tube placement from January 2010 to September 2012 were retrospectively analyzed. All the patients were divided into three groups according to the difference in type of nasojejunal feeding tube and the placement technique: control group 1 (n=48, Flocare feeding tube and bedside blind insertion group), control group 2 (n=28, Corflo(®) feeding tube and bedside blind insertion group), observation group (n=33, Corflo(®) feeding tube and electromagnetic tube placement device group). The success rate, the times of placement, duration of nasojejunal feeding, and safety were compared among three groups.

RESULTS

The success rate of control group 2 and observation group were higher than control group 1 (71.43%, 90.91% vs. 33.33%), rate of partial success and failure rate were lower than those of control group 1 (partial success rate: 17.86%, 3.03% vs. 35.42%; failure rate: 10.71%, 6.06% vs. 31.25%, all P<0.05), and no differences were found between control group 2 and observation group. The average times for successful placement in observation group was lower than that of control group 1 and control group 2 (1.6±0.5 vs. 6.6±3.2, 5.8±2.3, both P<0.05), and the average time for successful placement was shorter in observation group than that of control group 1 and control group 2 (12.48±3.78 minutes vs. 25.27±3.61 minutes, 23.58±4.87 minutes, both P<0.05), but there was no difference between control group 1 and control group 2. No complications occurred in all three groups.

CONCLUSION

Placement of a nasojejunal tube with the aid of an electromagnetic device is an excellent method for enteral nutrition, as it is safer, more efficient, with high successful rate, less time spending, and easier to master for beginners.

摘要

目的

评估一种电磁装置用于重症监护病房（ICU）患者床边鼻空肠饲管正确放置的效果。

方法

回顾性分析2010年1月至2012年9月在ICU接受床边鼻空肠饲管放置的109例患者的临床资料。所有患者根据鼻空肠饲管类型和放置技术的不同分为三组：对照组1（n = 48，弗洛凯尔饲管及床边盲插组）、对照组2（n = 28，科弗洛（®）饲管及床边盲插组）、观察组（n = 33，科弗洛（®）饲管及电磁管放置装置组）。比较三组的成功率、放置次数、鼻空肠喂养持续时间及安全性。

结果

对照组2和观察组的成功率高于对照组1（71.43%、90.91% 对33.33%），部分成功率和失败率低于对照组1（部分成功率：17.86%、3.03% 对35.42%；失败率：10.71%、6.06% 对31.25%，均P < 0.05），对照组2和观察组之间无差异。观察组成功放置的平均次数低于对照组1和对照组2（1.6 ± 0.5对6.6 ± 3.2、5.8 ± 2.3，均P < 0.05），观察组成功放置的平均时间短于对照组1和对照组2（12.48 ± 3.78分钟对25.27 ± 3.61分钟、23.58 ± 4.87分钟，均P < 0.05），但对照组1和对照组2之间无差异。三组均未发生并发症。