Objective:To explore the effect of modified nasogastric tube placement and Rehabilitation New Liquid Spray in patients with indwelling gastric tube.Methods:Eighty-six cases with indwelling gastric tube in our hospital...Objective:To explore the effect of modified nasogastric tube placement and Rehabilitation New Liquid Spray in patients with indwelling gastric tube.Methods:Eighty-six cases with indwelling gastric tube in our hospital from January 2020 to May 2021 were randomly selected and divided into the reference group and the research group.The reference group was treated by modified gastric tube placement,and the research group was given the Rehabilitation New Liquid Spray intervention.The effect of the interventions on two groups was observed.Results:The incidence of nasal mucosal injury in the research group was lower than that in the reference group,and the incidence of pharyngeal mucosal injury in the research group was lower than that in the reference group(P<0.05).The pain score of the study group was lower than that of the reference group at 8 h,12 h and 24 h after replacement,and the incidence of hoarseness,swallowing discomfort and dry oropharynx was lower than that of the reference group(P<0.05).Conclusion:The application of modified gastric tube placement and Rehabilitation New Liquid Spray intervention in patients with indwelling gastric tube can effectively reduce the nasopharyngeal injury and improve the pain of catheterization.展开更多
Background:Nasogastric tube(NGT)placement is part of the post-operative management of upper gastrointestinal perforation,but its routine use in esophageal perforation(EP)caused by foreign bodies remains unclear.The pu...Background:Nasogastric tube(NGT)placement is part of the post-operative management of upper gastrointestinal perforation,but its routine use in esophageal perforation(EP)caused by foreign bodies remains unclear.The purpose of this research was to investigate the necessity for routine NGT placement in patients with EP after endoscopic foreign body removal.Methods:A total of 323 patients diagnosed with EP caused by foreign bodies at the First Affiliated Hospital of Nanchang University between January 2012 and December 2021 were included in this retrospective study.Patients were divided into the NGT group and the non-NGT group according to whether or not NGT placement was performed.The perforation healing rate,post-operative adverse events,hospital stay,and death rate were analysed using a 1:1 propensity score matching model.Results:Before matching,there were 263 patients in the NGT group and 60 patients in the non-NGT group.There were significant differences in the time to treatment,infection,albumin,and types of endoscopy between the two groups,while the length of hospital stay in the NGT group was significantly longer than that in the non-NGT group.After 1:1 propensity score matching,48 pairs of patients were matched between the two groups.The perforation healing rate,post-operative adverse events,length of hospital stay,and death rate did not show significant differences between the two groups.Conclusions:For patients with small EP caused by foreign bodies,routine NGT placement after endoscopic foreign body removal may be unnecessary.展开更多
目的:通过文献检索分析评价磁导航引导鼻空肠管置管技术在危重症患者鼻空肠管置管中的应用效果。方法:检索中国知网、万方、维普和中国生物医学文献服务系统中文数据库,以及外文数据库PubMed、CINAHL、Cochrane Library、Web of Science...目的:通过文献检索分析评价磁导航引导鼻空肠管置管技术在危重症患者鼻空肠管置管中的应用效果。方法:检索中国知网、万方、维普和中国生物医学文献服务系统中文数据库,以及外文数据库PubMed、CINAHL、Cochrane Library、Web of Science、Embase中关于磁导航引导鼻空肠管置管技术在危重症患者中应用的随机对照试验研究文献,检索时间为2000年1月至2023年9月。检索文献950篇,按照文献纳入与排除标准筛选文献,并对文献进行质量评价,运用RevMan 5.4.1软件对文献中的置管成功率、置管成功所需时间,患者体征恢复时间和满意度4项结局指标进行Meta分析,比较磁导航引导鼻空肠管置管与床旁盲插鼻空肠管的差异。结果:最终纳入7篇文献的7项随机对照试验研究,其中中文文献4篇,英文文献3篇,7篇文献涉及682例患者。磁导航引导鼻空肠管置管成功率高于床旁盲插鼻空肠管,差异有统计学意义[优势比(OR)=4.78,95%置信区间(CI)为(2.16~10.58),P<0.0001];磁导航引导鼻空肠管置管所需时间少于床旁盲插鼻空肠管,差异有统计学意义[均数差(MD)=-12.91,95%CI(-22.93~-2.90),P<0.00001];磁导航引导鼻空肠管置管患者体征恢复时间少于床旁盲插鼻空肠管,差异有统计学意义[MD=-9.11,95%CI(-12.09~-6.13),P<0.00001];磁导航引导鼻空肠管置管的患者满意度高于床旁盲插鼻空肠管患者,差异有统计学意义[OR=11.61,95%CI(3.96~34.01),P<0.00001]。结论:磁导航引导鼻空肠管置管相比床旁盲插鼻空肠管,可显著提高危重症患者鼻空肠管置管成功率,减少鼻空肠管置管成功所需时间和患者体征恢复时间,提高患者满意度。展开更多
BACKGROUND The jejunal nutrition tube has increasingly been used in clinical practice,and the results in frequent complications.CASE SUMMARY We present the case of a 74-year-old male patient who had been admitted to t...BACKGROUND The jejunal nutrition tube has increasingly been used in clinical practice,and the results in frequent complications.CASE SUMMARY We present the case of a 74-year-old male patient who had been admitted to the intensive care unit for aspiration pneumonia and respiratory failure.When confirming the position of the jejunal tube by X-ray,we found that the feeding tube had been placed into the chest.The complications was a disaster,though the misplacement of jejunal feeding tube are uncommon.CONCLUSION We introduced a way of ultrasound-guided jejunum feeding tube placement to avert the disaster,which was convenient and economical.展开更多
Nasogastric tube is widely used in intensive care units. The complications of misplacement are rare but very dangerous for critically ill patients. Accurate localization of the position of the tip of nasogastric tube ...Nasogastric tube is widely used in intensive care units. The complications of misplacement are rare but very dangerous for critically ill patients. Accurate localization of the position of the tip of nasogastric tube can effectively decrease complications and ensure the safety of critically ill patients. There are various methods that can be used to verify the location of the nasogastric tube such as radiography, PH measurement, electromagnetic navigator and ultrasound. However, there is a lack of general consensus regarding a standard method. In this review, we found that the accuracy of nasogastric tube placement can be greatly improved by visual technology such as X-ray, sonography and electromagnetic navigator. However, visual technology has not been widely used to locate the tip of nasogastric tube in critically ill patients. Best practice guidelines based on the available knowledge and evidence of current methods are necessary to increase the accuracy placement of nasogastric tube. It is envisioned that development of visual technologies will determine a new standard of care for verification of placement of nasogastric tube.展开更多
文摘Objective:To explore the effect of modified nasogastric tube placement and Rehabilitation New Liquid Spray in patients with indwelling gastric tube.Methods:Eighty-six cases with indwelling gastric tube in our hospital from January 2020 to May 2021 were randomly selected and divided into the reference group and the research group.The reference group was treated by modified gastric tube placement,and the research group was given the Rehabilitation New Liquid Spray intervention.The effect of the interventions on two groups was observed.Results:The incidence of nasal mucosal injury in the research group was lower than that in the reference group,and the incidence of pharyngeal mucosal injury in the research group was lower than that in the reference group(P<0.05).The pain score of the study group was lower than that of the reference group at 8 h,12 h and 24 h after replacement,and the incidence of hoarseness,swallowing discomfort and dry oropharynx was lower than that of the reference group(P<0.05).Conclusion:The application of modified gastric tube placement and Rehabilitation New Liquid Spray intervention in patients with indwelling gastric tube can effectively reduce the nasopharyngeal injury and improve the pain of catheterization.
基金support provided by Jiangxi Clinical Research Center for Gastroenterology(20201ZDG02007).
文摘Background:Nasogastric tube(NGT)placement is part of the post-operative management of upper gastrointestinal perforation,but its routine use in esophageal perforation(EP)caused by foreign bodies remains unclear.The purpose of this research was to investigate the necessity for routine NGT placement in patients with EP after endoscopic foreign body removal.Methods:A total of 323 patients diagnosed with EP caused by foreign bodies at the First Affiliated Hospital of Nanchang University between January 2012 and December 2021 were included in this retrospective study.Patients were divided into the NGT group and the non-NGT group according to whether or not NGT placement was performed.The perforation healing rate,post-operative adverse events,hospital stay,and death rate were analysed using a 1:1 propensity score matching model.Results:Before matching,there were 263 patients in the NGT group and 60 patients in the non-NGT group.There were significant differences in the time to treatment,infection,albumin,and types of endoscopy between the two groups,while the length of hospital stay in the NGT group was significantly longer than that in the non-NGT group.After 1:1 propensity score matching,48 pairs of patients were matched between the two groups.The perforation healing rate,post-operative adverse events,length of hospital stay,and death rate did not show significant differences between the two groups.Conclusions:For patients with small EP caused by foreign bodies,routine NGT placement after endoscopic foreign body removal may be unnecessary.
文摘目的:通过文献检索分析评价磁导航引导鼻空肠管置管技术在危重症患者鼻空肠管置管中的应用效果。方法:检索中国知网、万方、维普和中国生物医学文献服务系统中文数据库,以及外文数据库PubMed、CINAHL、Cochrane Library、Web of Science、Embase中关于磁导航引导鼻空肠管置管技术在危重症患者中应用的随机对照试验研究文献,检索时间为2000年1月至2023年9月。检索文献950篇,按照文献纳入与排除标准筛选文献,并对文献进行质量评价,运用RevMan 5.4.1软件对文献中的置管成功率、置管成功所需时间,患者体征恢复时间和满意度4项结局指标进行Meta分析,比较磁导航引导鼻空肠管置管与床旁盲插鼻空肠管的差异。结果:最终纳入7篇文献的7项随机对照试验研究,其中中文文献4篇,英文文献3篇,7篇文献涉及682例患者。磁导航引导鼻空肠管置管成功率高于床旁盲插鼻空肠管,差异有统计学意义[优势比(OR)=4.78,95%置信区间(CI)为(2.16~10.58),P<0.0001];磁导航引导鼻空肠管置管所需时间少于床旁盲插鼻空肠管,差异有统计学意义[均数差(MD)=-12.91,95%CI(-22.93~-2.90),P<0.00001];磁导航引导鼻空肠管置管患者体征恢复时间少于床旁盲插鼻空肠管,差异有统计学意义[MD=-9.11,95%CI(-12.09~-6.13),P<0.00001];磁导航引导鼻空肠管置管的患者满意度高于床旁盲插鼻空肠管患者,差异有统计学意义[OR=11.61,95%CI(3.96~34.01),P<0.00001]。结论:磁导航引导鼻空肠管置管相比床旁盲插鼻空肠管,可显著提高危重症患者鼻空肠管置管成功率,减少鼻空肠管置管成功所需时间和患者体征恢复时间,提高患者满意度。
基金Supported by The Science and Technology Project of Taizhou,No.1902KY02.
文摘BACKGROUND The jejunal nutrition tube has increasingly been used in clinical practice,and the results in frequent complications.CASE SUMMARY We present the case of a 74-year-old male patient who had been admitted to the intensive care unit for aspiration pneumonia and respiratory failure.When confirming the position of the jejunal tube by X-ray,we found that the feeding tube had been placed into the chest.The complications was a disaster,though the misplacement of jejunal feeding tube are uncommon.CONCLUSION We introduced a way of ultrasound-guided jejunum feeding tube placement to avert the disaster,which was convenient and economical.
文摘Nasogastric tube is widely used in intensive care units. The complications of misplacement are rare but very dangerous for critically ill patients. Accurate localization of the position of the tip of nasogastric tube can effectively decrease complications and ensure the safety of critically ill patients. There are various methods that can be used to verify the location of the nasogastric tube such as radiography, PH measurement, electromagnetic navigator and ultrasound. However, there is a lack of general consensus regarding a standard method. In this review, we found that the accuracy of nasogastric tube placement can be greatly improved by visual technology such as X-ray, sonography and electromagnetic navigator. However, visual technology has not been widely used to locate the tip of nasogastric tube in critically ill patients. Best practice guidelines based on the available knowledge and evidence of current methods are necessary to increase the accuracy placement of nasogastric tube. It is envisioned that development of visual technologies will determine a new standard of care for verification of placement of nasogastric tube.
