鼻内镜辅助下鼻胃管和鼻空肠管置入的护理效果

Nursing effect of Nasoscopically assisted nasogastri tube and nasojejunal tube placement.

作者信息

Lu Bing, Xu Aihong, Li Jun, Xu Zhiyu, Li Haiping, Zhao Zhongyan

机构信息

Endoscopic Center, The First Affiliated Hospital of Hainan Medical University Haikou 570102, Hainan, China.

Department of Geriatrics, Sanya People's Hospital Sanya 572000, Hainan, China.

出版信息

Am J Transl Res. 2021 Sep 15;13(9):10758-10764. eCollection 2021.

PMID:34650752

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8507015/

Abstract

OBJECTIVE

To investigate the nursing effect of nasoscopically assisted nasogastri tube and nasojejunal tube placement.

METHODS

94 patients who need to place nasogastric tube and nasojejunal tube to establish enteral nutrition were randomly divided into two groups: the observation group (n=49) and control group (n=45). The patients in the observation group received nasogastric tube placement and jejunal nutrition tube placement, and the patients in the control group received general gastroscope and placed gastric tube and jejunal nutrition tube through mouth. Success rate of catheterization, catheter pain score, satisfaction score, vital signs, completion time of catheterization, and complication were collected.

RESULTS

the fluctuation of vital signs in control group was significantly higher than that in observation group. There was statistical significance between two groups in vital signs after intervention (P<0.05), mainly manifested in the heart rate, breathing and pulse pressure difference. On the other hand, there was no statistical significance between two groups in pulse oxygen after nursing intervention (P>0.05). The catheter pain score is obviously improved in the observation group compared with control group after intervention. The improvement score of satisfaction in the observation group was 91.47±7.65 points, and that in the control group was 83.64±5.24 points. The completion time of catheterization was improved in the observation group compared with control group. There was statistical significance between two groups in satisfaction score and completion time of catheterization (P<0.05). The rate of abdominal distention and diarrhea in the control group was higher than that in the observation group (P<0.05).

CONCLUSION

Nasoscopically assisted nasogastri tube and nasojejunal tube placement has the advantages of simple and fast, short operation time, high success rate and few complications. It is the first choice of intubation method for enteral nutrition support treatment.

摘要

目的

探讨鼻内镜辅助下鼻胃管和鼻空肠管置入的护理效果。

方法

将94例需要放置鼻胃管和鼻空肠管以建立肠内营养的患者随机分为两组：观察组（n = 49）和对照组（n = 45）。观察组患者接受鼻胃管置入和空肠营养管置入，对照组患者接受普通胃镜检查并经口放置胃管和空肠营养管。收集置管成功率、置管疼痛评分、满意度评分、生命体征、置管完成时间及并发症情况。

结果

对照组生命体征波动明显高于观察组。干预后两组生命体征比较差异有统计学意义（P<0.05），主要表现在心率、呼吸及脉压差方面。另一方面，护理干预后两组脉搏血氧饱和度比较差异无统计学意义（P>0.05）。干预后观察组置管疼痛评分较对照组明显改善。观察组满意度改善评分为91.47±7.65分，对照组为83.64±5.24分。观察组置管完成时间较对照组有所改善。两组满意度评分及置管完成时间比较差异有统计学意义（P<0.05）。对照组腹胀、腹泻发生率高于观察组（P<0.05）。