Zhao Hongyan, Chen Jiayu, Chen Huan, Lv Xiaoxia, Lu Zhenchan, Sun Yanhua
Hongyan Zhao Department of Neurology, The Fifth Clinical School of Zhejiang University of Traditional Chinese Medicine, 1558 Sanhuan North Road, Huzhou, Zhejiang Province, P.R. China, 313000.
Jiayu Chen Department of Rehabilitation The Fifth Clinical School of Zhejiang University of Traditional Chinese Medicine, 1558 Sanhuan North Road, Huzhou, Zhejiang Province, P.R. China, 313000.
Pak J Med Sci. 2024 Nov;40(10):2208-2212. doi: 10.12669/pjms.40.10.9936.
To explore the efficacy of Traditional Chinese Medicine (TCM) acupuncture-assisted blind insertion of bullet nasointestinal tube method in patients with ischemic stroke.
This is a retrospective study using clinical records of 180 patients with ischemic stroke, hospitalized in the Department of Neurology of the Zhejiang Province Tertiary Class A Hospital, Huzhou, China from July 2022 to June 2023. The patients were divided into two groups on the basis of the nasogastric tube insertion method. We selected 90 patients for each group from the database of records by using a random list method. Patients in the observation group underwent TCM acupuncture-assisted blind insertion of nasointestinal tube and those in the control group underwent the traditional bedside blind insertion of bullet nasointestinal tube. Success rate of tube insertion, average tube insertion time, intragastric insertion time, stomach time to jejunal insertion, patient comfort, and patient satisfaction in both groups were compared.
The success rate of nasointestinal tube insertion was significantly higher in the observation group compared to the control group (96.6% and 88.9%, p<0.05). There was no statistically significant difference in the time of nasoenteral tube insertion into the stomach (p>0.05). The insertion time from stomach to jejunum in the observation group was significantly shorter than in the control group (p<0.05). The patient comfort and satisfaction levels were significantly higher in the observation group compared to the control group (p<0.05).
TCM acupuncture-assisted blind insertion of bullet nasointestinal tube method improves the success rate of tube insertion, shortens the average catheterization time from the stomach to the jejunum and improves patient's comfort and satisfaction.
探讨中医针刺辅助盲插鼻肠管法在缺血性脑卒中患者中的应用效果。
这是一项回顾性研究，采用2022年7月至2023年6月在中国浙江省湖州市某三级甲等医院神经内科住院的180例缺血性脑卒中患者的临床记录。根据鼻胃管插入方法将患者分为两组。我们使用随机列表法从记录数据库中为每组选择90例患者。观察组患者采用中医针刺辅助盲插鼻肠管，对照组患者采用传统床边盲插鼻肠管。比较两组的插管成功率、平均插管时间、胃内插入时间、胃到空肠的插入时间、患者舒适度和患者满意度。
观察组鼻肠管插入成功率显著高于对照组（96.6%和88.9%，p<0.05）。鼻肠管插入胃内的时间差异无统计学意义（p>0.05）。观察组从胃到空肠的插入时间显著短于对照组（p<0.05）。观察组患者的舒适度和满意度显著高于对照组（p<0.05）。
中医针刺辅助盲插鼻肠管法提高了插管成功率，缩短了从胃到空肠的平均置管时间，提高了患者的舒适度和满意度。
