头部左侧后仰法在全麻消化道手术中置入鼻空肠营养管的可行性

Feasibility of placing the nasal jejunal feeding tube into the gastrointestinal surgery under general anesthesia with the left back of head

目的:探讨头部左侧后仰法在全麻消化道手术中置入鼻空肠营养管的可行性。方法:选取2015年6月至2 0 1 7年3月扬州大学附属医院收治的全麻消化道手术患者1 8 0例,将其随机分成A, B, C组,每组60例,A组采取传统方法置入鼻空肠营养管,B组采取可视喉镜置入鼻空肠营养管,C组采取头部左侧后仰法置入鼻空肠营养管,比较3组一次置管成功率、出血率和置管时间。结果:在一次置管成功率和出血率方面,B组与C组差异无统计学意义,与A组相比,差异有统计学意义(P<0.05);在置管时间方面,C组比A组和B组短,差异有统计学意义(P<0.05)。结论:对于气管插管的全麻消化道手术患者,术中置入鼻空肠营养管,采取头部左侧后仰法,可提高鼻空肠营养管置入的成功率,缩短鼻空肠营养管置入时间,减少鼻空肠营养管置入对患者的损伤,减轻护士工作负荷。

Objective： To investigate the feasibility of placing the nasal jejunal feeding tube in the digestive tract operation under general anesthesia with the left back of head. Methods： A total of 180 patients with general anesthesia digestive surgery admitted to our hospital from June 2015 to March 2017 were randomly divided into groups A, B, and C（60 patients in each）. Group A was placed in the nose by traditional methods. In the jejunal nutrition tube, group B was placed into the nasal jejunal feeding tube by visual laryngoscope, and group C was placed into the nasal jejunal feeding tube by the left side of the head. The success rate, bleeding rate, and catheterization time were compared. Results： In the one-time tube success rate and bleeding rate, there was no significant difference between group B and group C; there was significant difference between group A and group A（P〈0.05）. In the tube placement time, group C was significantly different from group A and group B（P〈0.05）. Conclusion： For patients with general anesthesia and digestive tract surgery for tracheal intubation, intranasal jejunal feeding tube is taken during operation, and the left side of the head is used to improve the success rate of nasal jejunal nutrition tube placement, shorten the placement of nasal jejunal nutrition tube time, reduce the damage to the patient by placing the nasal jejunal nutrition tube, and reduce the nurse＇s workload.