床边盲插鼻肠喂养管两种置管方法的比较

Comparison of two technique of tube placement for bedside blind placement of nasal-intestinal feeding tube

目的比较初学操作者用多导丝法和螺旋推进法行床边盲插鼻肠喂养管的成功率和安全性。方法同一初学操作者随机为 4 0例危重住院患者用多导丝法和螺旋推进法行床边盲插鼻肠喂养管各 2 0例。结果多导丝法和螺旋推进法的置管成功率分别为 90 %和 35 %,差异有显著意义 (P <0 .0 1) ,两组患者均无呼吸道内置管或消化道穿孔等并发症。结论对于初学床边盲插鼻肠喂养管操作者 ,多导丝法与螺旋推进法相比 ,是技术上更易掌握。

Objective To compare the success rate and safety of the multi-style technique vs that of the corkscrew technique used by new learner for bedside blind placement of nasal-intestinal feeding tubes.Methods Forty nasal intestinal feeding tubes were introduced blindly at the bedside using either the multi-style technique or corkscrew technique by the same learner in 2 groups of patients,each group consists of 20 critically ill patients.Result The success rate of tube placement was 90% and 35% for group using multi-style technique and corkscrew technique respectively.There was significantly difference between the two groups( P <0 01). No inadvertent Respiratory placement of feeding tubes or perforation of the GI track occurred in both group.Conclusion Foe bedside blind placement of nasal intestinal feeding tubes by new learner,the multi-style technique is more efficient compared with the corkscrew technique,and with a higher success rate.