超声引导联合胃窦渐进式注水法在鼻肠管放置中的应用

Application of ultrasonography guided water injection for insertion of naso-jejunal tubes

目的探讨超声引导联合胃窦渐进式注水法在鼻肠管放置中的应用效果。方法选取2016年11月—2017年4月在北京市某三级甲等医院ICU住院需要留置鼻肠管的患者作为研究对象,采用超声引导联合胃窦渐进式注水法,即应用超声在胃窦处观察经鼻肠管渐进式注水后的回声变化,动态引导鼻肠管置入。同时采用半结构式访谈法,了解重症患者对放置鼻肠管的感受及建议。结果共纳入40例留置鼻肠管患者,一次性置管成功率为92.5%;置管时间为25(20,38.75)min。结论对重症患者而言,医护配合采用超声引导联合胃窦渐进式注水法,有助于动态引导鼻肠管置入,为重症患者实施早期肠内营养提供了保障。

Objective To examine the effects of application of uhrasonography guided water injection for insertion of naso-jejunal tubes. Methods Hospitalized patients in ICU who needed naso-jejunal tubes were recruited from one tertiary hospital in Beijing from November 2016 to April 2017. Ultrasonography guided water injection was used to assist insertion of naso-jejunal tubes. Meanwhile,we conducted semi-structured interviews to learn feelings and suggestions from the patients. Results A total of 40 patients were included in this study,37 patients （92.5%） were successfully inserted with the tubes at the first attempt. The duration of insertion of naso-jejunal tubes was 25 （20,38.75） rain. Conclusion Uhrasonography guided water injection is a simple and convenient method to guide the placement of naso-jejunal tubes for critical ill patients,which provides guarantee for early enteral nutrition.