Meer J A
JPEN J Parenter Enteral Nutr. 1987 Mar-Apr;11(2):187-9. doi: 10.1177/0148607187011002187.
The introduction of soft, small-bore nasoenteral feeding tubes has improved our ability to provide nutritional support to patients in a more comfortable, safe, and cost-effective manner. A retrospective study reveals, however, that 40% of patients receiving nasoenteral tube feeding experienced inadvertent dislodgement of their feeding tubes. All of the patients with dislodged feeding tubes were confused, disoriented, or obtunded periodically. Various means for preventing this problem are discussed. In view of both the considerable time and effort required to place nasoenteral feeding tubes properly and the potential complications due to inadvertent tubes dislodgement, it is recommended that nasoenteral feeding tubes be secured more effectively, particularly in confused or obtunded patients.
柔软的小口径鼻肠饲管的引入，提高了我们以更舒适、安全且具成本效益的方式为患者提供营养支持的能力。然而，一项回顾性研究显示，接受鼻肠管饲的患者中有40%经历了饲管意外移位。所有饲管移位的患者都有不同程度的意识混乱、定向障碍或意识迟钝。文中讨论了预防这一问题的各种方法。鉴于正确放置鼻肠饲管需要相当多的时间和精力，以及饲管意外移位可能引发的并发症，建议更有效地固定鼻肠饲管，尤其是对于意识混乱或意识迟钝的患者。
