2种测量法在经鼻胃管留置新生儿鼻饲中应用效果的比较

Comparison of the effect of nasogastric tube insertion on neonatal nasal feeding using two different measurement methods

目的:比较2种测量法在经鼻胃管留置新生儿鼻饲中的应用效果。方法:将80例需鼻饲喂养的新生儿随机分为观察组与对照组,2组各40例。对照组按照耳垂-鼻尖-剑突测量法经鼻置入胃管,观察组按照前额正中发际-脐测量法经鼻置入胃管,比较2组留置胃管的长度、一次胃液回抽成功率及鼻饲喂养并发症发生率。结果:观察组胃管置入长度为(18.48±0.26)cm,对照组为(16.34±0.38)cm,差异有统计学意义(P<0.01);观察组一次胃液回抽成功率明显高于对照组(P<0.01),且鼻饲喂养并发症总发生率明显低于对照组(P<0.01)。结论:前额正中发际-脐测量法经鼻胃管留置优于耳垂-鼻尖-剑突测量法,可减少鼻饲喂养并发症。

Objective：To compare the effect of nasogastric tube insertion on neonatal nasal feeding using two different measurement methods. Methods：Eighty neonates needing nasal feeding were randomly divided into 2 groups, observation group and control group,40 cases in each group. Nasogastric tube insertion was performed using an earlap-nasal tip-xiphoid and forehead hairline-umbilicus measurement methods in observation group and control group, respectively. The length of nasogastric tube insertion, the extraction success rate of gastric juice, and the incidence of nasal feeding complications were compared between two groups. Results ： The length of nasogastric tube insertion in observation group was significantly longer than that in control group [ （ 18.48 ＋ 0.26 ） cm vs. （ 1~5.34 ~ 0.38） cm, P 〈 0.01 ]. The pumpback success rate of gastric juice was significantly higher in observation group than that in control group （P 〈 0.01 ）. The total incidence of nasal feeding comphcations was remarkably lower in observation group than that in control group （P 〈 0.01 ）. Conclusions： Nasogastric tube insertion using forehead hairline-umbilicus measurement method is superior to using an earlap-nasal tip-xiphoid measurement method, and can reduce the incidence of nasal feeding complications.