“工”字型与“Y”字型固定鼻胃管在留置鼻胃管患儿中的效果比较

Comparison of the effects of I-shaped and Y-shaped fixed nasogastric tubes in children with indwelling nasogastric tubes

目的比较“工”字型与“Y”字型固定鼻胃管在留置胃管患儿中的应用效果。方法选取2020年3月至2023年3月福建医科大学附属第二医院儿科收治的78例新生儿重症监护室需留置鼻胃管患儿作为研究对象,按照随机数字表法将其分为对照组和观察组,每组39例。对照组采用“Y”字型固定鼻胃管治疗,观察组采用“工”字型固定鼻胃管治疗,比较两组患儿的治疗效果。结果观察组的不良事件总发生率低于对照组,差异有统计学意义(P<0.05)。观察组的胃肠减压前3 d每日的引流量高于对照组,差异有统计学意义(P<0.05)。观察组胃肠减压期间呕吐发生率低于对照组,胃肠减压时间短于对照组,差异有统计学意义(P<0.05)。两组患儿的血清白蛋白(ALB)、视黄醇结合蛋白(RBP)及血红蛋白(Hb)比较,差异无统计学意义(P>0.05)。两组患儿的血清D-乳酸、肠型脂肪酸结合蛋白(I-FABP)比较,差异无统计学意义(P>0.05)。结论采用“工”字型与“Y”字型固定鼻胃管治疗新生儿重症监护室留置鼻胃管患儿,均能有效改善患儿的营养状况,但“工”字型固定鼻胃管的安全性及胃肠减压效果更加理想。

Objective To compare the effect of I-shaped and Y-shaped fixed nasogastric tube in children with indwelling gastric tube.Methods A total of 78 children with nasogastric tube in neonatal intensive care unit admitted to the Department of Pediatrics of Fujian Medical University 2nd Affiliated Hospital from March 2020 to March 2023 were selected as research objects,and they were divided into control group and observation group according to random number table method,with 39 cases in each group.The control group was treated with Y-shaped fixed nasogastric tube,and the observation group was treated with I-shaped fixed nasogastric tube.The therapeutic effect of the two groups was compared.Results The total incidence of adverse events in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The daily drainage volume 3 days before decompression in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of vomiting during gastrointestinal decompression in observation group was lower than that in control group,and the time of gastrointestinal decompression was shorter than that in control group,the differences were statistically significant(P<0.05).There were no significant differences in serum albumin(ALB),retinol-binding protein(RBP)and hemoglobin(Hb)between two groups(P>0.05).There were no significant differences in serum D-lactic acid and intestinal fatty acid binding protein(I-FABP)between two groups(P>0.05).Conclusion Both I-shaped and Y-shaped fixed nasogastric tubes can effectively improve the nutritional status of children with indwelling nasogastric tube in neonatal intensive care unit,but the I-shaped fixed nasogastric tube has better safety and gastrointestinal decompression effect.