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胃管插入长度影响因素分析及估算方法构建的研究

Study on Influencing Factors Analysis of Gastric Tube Insertion Length and Construction of Estimation Method.

作者信息

Zhang Hua, Wang Huaqin, Fan Xiaoyu, Cao Xiangqun, Su Wan, Yang Bo

机构信息

Department of Gastroenterology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

出版信息

Front Surg. 2022 Jul 11;9:942881. doi: 10.3389/fsurg.2022.942881. eCollection 2022.

Abstract

BACKGROUND

Influenced by individual differences, the depth of gastric tube placement is often different. Clinically, it is necessary to seek a simple and accurate gastric tube insertion scheme to improve the clinical efficacy of indwelling gastric tube.

MATERIALS AND METHODS

A total of 100 adult patients undergoing transesophageal manometry nose were included in the study. The length (NCL) of apex-cardia was measured. At the same time, we entered our institutional database, summarized the clinical data of 100 patients, and analyzed the risk factors affecting NCL using stepwise regression analysis.

RESULTS

The NCL length scores of patients with different gender, age, marital status, height, weight, BMI, sitting height, sternum length, hairline-xiphoid process, nose tip-earlobe-xiphoid process and earlobe-xiphoid process were statistically significant ( < 0.05). Height, sitting height, gender, BMI and earlobe-xiphoid process were the factors that affected the NCL length score ( < 0.05). The prediction equation of the estimation method of gastric tube insertion length was as follows: NCL length score = 39.907 + 2.909× height +0.865× sitting height. Adjust to 0.506. NCL was positively correlated with height and sitting height. Among them, the correlation with height (= 0.711, < 0.001) and sitting height (= 0.397, < 0.001).

CONCLUSION

Height, sitting height, gender, BMI and earlobe-xiphoid process were the factors that affected the score of NCL length. There was a significant positive correlation between height, sitting height and NCL length. On this basis, the length of nasogastric tube insertion could be estimated.

摘要

背景

受个体差异影响,胃管置入深度常存在不同。临床上,有必要探寻一种简单准确的胃管插入方案,以提高留置胃管的临床效果。

材料与方法

本研究共纳入100例接受经食管测压的成年患者。测量心尖 - 贲门长度(NCL)。同时,我们进入机构数据库,总结100例患者的临床资料,并采用逐步回归分析影响NCL的危险因素。

结果

不同性别、年龄、婚姻状况、身高、体重、BMI、坐高、胸骨长度、发际 - 剑突、鼻尖 - 耳垂 - 剑突及耳垂 - 剑突患者的NCL长度评分具有统计学意义(<0.05)。身高、坐高、性别、BMI及耳垂 - 剑突是影响NCL长度评分的因素(<0.05)。胃管插入长度估算方法的预测方程如下:NCL长度评分 = 39.907 + 2.909×身高 + 0.865×坐高。调整后为0.506。NCL与身高和坐高呈正相关。其中,与身高的相关性(= 0.711,<0.001)和坐高的相关性(= 0.397,<0.001)。

结论

身高、坐高、性别、BMI及耳垂 - 剑突是影响NCL长度评分的因素。身高、坐高与NCL长度之间存在显著正相关。在此基础上,可估算鼻胃管插入长度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b874/9309469/2ce039df07a8/fsurg-09-942881-g001.jpg

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