三腔营养管在上消化道疾病治疗中的应用效果观察

Observation on the application effect of three-lumen gastrojejunal tube on treatment of upper digestive tract diseases

目的观察三腔营养管在上消化道疾病治疗中的应用效果。方法回顾性分析广西壮族自治区人民医院2017-03~2019-12收治的21例采用三腔营养管进行治疗的上消化道疾病患者的临床资料。统计患者的鼻饲时间、引流量及引流事件等情况。分析患者治疗前后电解质、营养指标、免疫指标变化情况。结果21例患者经治疗后均顺利出院,无严重并发症发生,1例置管后不慎脱落,3例因喂养不恰当发生堵管。治疗后患者的体质量指数(BMI)、K^(+)、Na^(+)、Ca^(2+)、淋巴细胞计数和前白蛋白水平均呈上升趋势(P<0.05)。总白蛋白和白蛋白水平在治疗前后变化不显著(P>0.05)。结论上消化道疾病患者应用三腔营养管进行胃肠减压和肠内营养是安全可行的。

Objective To observe the application effect of three-lumen gastrojejunal tube on treatment of upper digestive tract diseases.Methods The clinical data of 21 patients with upper digestive tract diseases treated with three-lumen gastrojejunal tube in the People′s Hospital of Guangxi Zhuang Autonomous Region from March 2017 to December 2019 were retrospectively analyzed.The nasal feeding time,drainage volume and drainage events were recorded.The changes of electrolytes,nutritional indicators,and immune indicators before and after treatment were analyzed.Results The 21 patients were smoothly discharged from the hospital after treatment without serious complications.In 1 case,the catheter was accidentally detached.In 3 cases,the catheters were blocked due to improper feeding.After treatment,the patients′Body Mass Index(BMI),K^(+),Na^(+),Ca^(2+),lymphocyte count and prealbumin level showed an upward trend(P<0.05).Compared with those before treatment,the levels of total albumin and albumin did not change significantly after treatment(P>0.05).Conclusion It is safe and feasible to perform gastrointestinal decompression and enteral nutrition in patients with upper digestive tract diseases by using three-lumen gastrojejunal tube.