实用新型鼻饲装置专利技术在急性重症胰腺炎患者中的应用

Application of a new type of nasal feeding device patent technology in patients with severe acute pancreatitis

目的比较实用新型肠道营养鼻饲装置与目前临床常用鼻饲装置的临床使用效果。方法选取2017年1-12月兰州大学第一医院普外二科住院的行肠道营养辅助治疗的急性重症胰腺炎患者162例。按照随机数字表法将其分为试验组(82例)和对照组(80例)。试验组采用新型鼻饲装置实施鼻肠营养,对照组采用传统临床常用装置,评价指标为医护人员及患者家属对鼻饲情况的对比、舒适度(腹胀)及腹泻发生率、鼻饲应用效果及便捷性,并进行比较。结果试验组医护人员对新型鼻饲装置评价认为不好、一般、好、很好分别为3、3、27、49例,对照组分别为4、48、15、13例,2组比较差异有统计学意义(Z=-7.14,P=0.00);试验组患者及家属评价不好、一般、好、很好分别为0、1、33、48例,对照组分别为34、31、11、4例,2组比较差异有统计学意义(Z=-7.44,P=0.00);试验组患者严重腹胀、一般腹胀、无腹胀分别为22、42、18例,对照组分别为43、34、3例,2组比较差异有统计学意义(Z=-4.14,P=0.00);试验组患者严重腹泻、一般腹泻、无腹泻分别为8、50、24例,对照组分别为43、34、3例,2组比较差异有统计学意义(Z=-6.55,P=0.00);试验组便携性中不方便、一般、方便分别为2、5、75例,对照组分别为18、43、19例,2组比较差异有统计学意义(Z=-8.45,P=0.00)。结论实用新型鼻饲装置,性能好,安全性强,医、护、患对其满意度较好,评价较高,认为使用便捷性好,适于临床使用。

Objective To compare the clinical effect of a new type of nasal feeding device and the commonly used nasal feeding device at present.Methods From January 2017 to December 2017,162 cases of acute severe pancreatitis in the General surgery department two in First Hospital of Lanzhou University were treated with enteral nutrition.According to the random number table method,it was divided into experimental group(82 cases)and control group(80 cases).The experimental group used a new nasal feeding device to implement nasogastric nutrition,while the control group used traditional clinical common devices.The evaluation indexes were as follows:comparison of nasal feeding,comfort(abdominal distention),incidence of diarrhea,effect of nasal feeding and convenience of patients'family members.Results The number of the evaluation of medical staff was not good,general,good and very good were 3,3,27 and 49 cases in the experimental group and 4,48,15 and 13 cases in the control group,respectively.There was significant difference between the two groups(Z=-7.14,P=0.00).The number of the evaluation of the patients and their families was not good,general,good and very good were 0,1,33 and 48 cases in the experimental group and 34,31,11 and 4 cases in the control group,respectively.There were significant differences between the two groups(Z=-7.44,P=0.00).The number of severe abdominal distension,general abdominal distension and no abdominal distension were 22,42 and 18 cases in the experimental group,43,34 and 3 cases in the control group,respectively.There were significant differences between the two groups(Z=-4.14,P=0.00).The number of severe diarrhea,general diarrhea and no diarrhea were 8,50 and 24 cases in the experimental group,43,34 and 3 cases in the control group,respectively.There were significant differences between the two groups(Z=-6.55,P=0.00).The number of inconvenience,general and convenience were 2,5 and 75 cases in the experimental group,and 18,43 and 19 cases in the control group,respectively.There was significant difference between the two groups(Z=-8.45,P=0.00).Conclusions The new type of nasal feeding device has good performance and safety.The doctor,nurse and patient have good satisfaction,high evaluation,good convenience and suitable for clinical use.