胃镜引导下放置鼻空肠营养管在高龄胃食管反流患者中的应用

Application of Gastroscope-guided Nose-jejunal Nutrition Tube in Elderly Patients with Gastroesophageal Reflux Diseases

目的研讨鼻空肠营养管采用胃镜引导下放置在高龄胃食管反流患者中的应用效果。方法选择河南科技大学第二附属医院2019年11月至2023年4月收入的80例高龄胃食管反流患者,按随机数字表法分成对照组和观察组,各40例。对照组予以普通鼻胃管置入,观察组予以胃镜引导下放置鼻空肠营养管,比较两组营养状况、置管情况、并发症发生情况和生活质量。结果置管后两组对比观察组血清总蛋白、血红蛋白、前白蛋白水平更高,差异有统计学意义(P<0.05);观察组一次置管成功率(100.00%),高于对照组(90.00%),差异有统计学意义(P<0.05),观察组平均置管时间短于对照组,差异有统计学意义(P<0.05);观察组并发症发生率(5.00%),低于对照组(22.50%),差异有统计学意义(P<0.05);置管后观察组健康状况调查简表(SF-36)各项评分均比对照组高,差异有统计学意义(P<0.05)。结论鼻空肠营养管采用胃镜引导下放置在高龄胃食管反流患者中应用能改善机体营养状况,提高一次置管成功率,缩短置管时间,降低并发症发生率以及提升生活质量,值得临床应用。

Objective To discuss the applied effects of gastroscope-guided nose-jejunal nutrition tube in elderly patients with gastroesophageal reflux diseases.Methods A total of 80 elderly patients with gastroesophageal reflux diseases treated from November 2019 to April 2023 in Second Affiliated Hospital of Henan University of Science and Technology were selected.Divide into a control group and an observation group using a random number table method,with 40 cases in each group.The nasogastric tube was placed in the control group;the gastroscope-guided nose-jejunal nutrition tube was placed in the observation group.Compare the nutritional status,catheterization status,incidence of complications,and quality of life between the two groups.Results After catheterization,the two groups were compared,and the observation group had higher levels of serum total protein,hemoglobin,and prealbumin,with statistical significance(P<0.05);the success rate of one-time catheterization in the observation group was 100.00%,which was higher than the control group's 90.00%,and the difference was statistically significant(P<0.05);the average indwelling time in the observation group was shorter than control group,and the difference was statistically significant(P<0.05);the incidence of complications in the observation group was 5.00%,lower than that in the control group by 22.50%,with a statistically significant difference(P<0.05);The health status survey summary table(SF-36)of the observation group after catheterization showed that all scores were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion The gastroscope-guided nose-jejunal nutrition tube can improve the nutritional status and one-time indwelling rates,reduce the indwelling time and postoperative complications,and improve life quality for elderly patients with gastroesophageal reflux disease.It is worthy of clinical application.