床边超声引导鼻小肠管置入技术在ICU重症患者的临床应用

目的探讨床边超声引导鼻小肠管置入技术在ICU重症患者临床应用的有效性与安全性。方法将100例需行小肠营养管留置的重症患者按照随机对照原则分为传统盲插组和床边超声引导组,每组各50例。比较两组的首次置管成功率、最终置管成功率、置管时间、并发症发生率等。结果床边超声引导置管组首次置管成功37例(74%),传统盲插组置管成功22例(44%),两组的置管成功率差异有统计学意义(P<0.05)。两组的最终置管成功率、置管时间、并发症发生率比较,差异均无统计学意义(P均>0.05)。结论ICU重症患者使用床旁超声引导鼻小肠管置入技术安全且有效。

Objective To explore the efficacy and safety of bedside ultrasound-guided nasointestinal feeding tube placement in critically ill patients in the intensive care unit(ICU).Methods According to the principle of random control,100 severe patients who need indwelling small intestinal nutrition tube were divided into traditional blind insertion group and bedside ultrasound-guided group,with 50 cases in each group.The overall success rate of postpyloric placement,the success rate at the first insertion attempt,time to insertion,and major adverse events incidence were compared between the two groups.Results 37 cases(74%)were successfully placed with nasointestinal feeding tube in the bedside ultrasound-guided catheterization group and 22 cases(44%)in the traditional blind insertion group.There was significant difference in the success rate of catheterization between the two groups(P<0.05).There was no significant difference in the final success rate of catheterization,catheterization time and the incidence of complications between the two groups(P>0.05).Conclusion Bedside ultrasound-guided nasointestinal feeding tube placement is safe and effective in critically ill patients in the ICU.