Technol Health Care. 2024;32(4):2129-2139. doi: 10.3233/THC-230824.
At present, there are few studies on the technical requirements of manual bedside placement of post-pyloric tube in Intensive Care Unit patients.
To investigate the application value of downward tract adherence method in the manual bedside placement of jejunal tubes.
In the downward group, 160 patients underwent manual bedside placement of jejunal tubes by a downward tract adherence method. In the conventional group, 144 patients were treated with conventional gas injection during the placement. The success rate, average time, and adverse reactions of the placement in the two groups were investigated and compared.
The success rate of the placement in the downward group was significantly higher (95% vs. 75%, P< 0.001) and the average time for the successful placement was shortened (23 ± 5.91 min vs. 26 ± 5.49 min, P= 0.025) than that in the conventional group. No treatment-related adverse reactions occurred in either group, and there were also no significant differences in vital sign changes.
The use of the downward tract adherence method in the manual bedside placement of postpyloric tubes for the intensive care patients at the bedside has a higher success rate, effectivity and safety.
目前，关于重症监护病房患者经皮胃后置管的床边手动操作技术要求的研究较少。
探讨下行顺应法在床边手动空肠置管中的应用价值。
下行组 160 例患者采用下行顺应法进行床边手动空肠置管，常规组 144 例患者在置管过程中采用常规注气。比较两组患者的置管成功率、平均时间和不良反应。
下行组的置管成功率显著高于常规组（95%比 75%，P<0.001），成功置管的平均时间也缩短（23±5.91 min 比 26±5.49 min，P=0.025）。两组均未发生与治疗相关的不良反应，生命体征变化也无显著差异。
下行顺应法用于重症监护患者床边经皮胃后置管，成功率高、效果好、安全性高。
