急诊科应用间歇推进法盲插螺旋鼻肠管的效果观察

Effect observation of application of intermittent propulsion method for blind intubation of spiral nasointestinal tube in emergency department

目的:探讨急诊科应用间歇推进法盲插螺旋鼻肠管的临床应用优势。方法:将我院收治的122例需肠内营养(EN)的脑卒中患者随机等分为观察组与对照组,对照组予以传统鼻肠管插管技术,观察组予以间歇推进法盲插螺旋鼻肠管插入鼻肠管,对比两组插管成功率、有无呛咳、反流等不适及EN启动时间。结果:观察组插管成功例数明显高于对照组,差异有统计学意义(P<0.05);观察组置管呛咳、反流明显高于对照组;观察组EN等待时间明显更理想,差异均有统计学意义(P<0.05)。结论:临床予以急诊科需EN的患者应用间歇推进法盲插螺旋鼻肠管,其置管成功率较高且并发症发生率较低,减少EN等待时间具有临床推广价值。

Objective：To discuss the clinical application advantages of applying intermittent propulsion method for blind intubation of spiral nasointestinal tube in emergency department. Methods：Divided 122 cerebral apoplexy patients needing enteral nutrition （EN） in our hospital equally into observation group and control group at random, where the traditional nasointestinal tube intubation technique was given to the patients in the control group, and blind intubation of spiral nasointestinal tube with intermittent propulsion method was given to the patients in the observation group, and patients in the patients were observed in intubation success rate, bucking, regurgitation and other discomforts and EN starting time. Results：The success rate of intubation in the observation group was significantly higher than that in the control group, and the difference was statistically significant （ P 〈 0.05 ） ; the bucking and regur- gitation in the control group were significantly higher than those in the test group, and the EN waiting time in the observation was more ideal significantly, and the difference was statistically significant （ P 〈 0.05 ）. Conclusion ： The application of intermittent propulsion for blind intubation of spiral nasointestinal tube for the patients needing EN in emergency department clinically had a higher sueeess rate of intubation and low incidence rate of complications, reduce EN waiting time and was worth promoting clinically.