重症胰腺炎早期肠内营养护理中主动注气盲插鼻肠管的应用(1)
[摘要] 目的 探究重癥急性胰腺炎早期肠内营养护理中主动注气盲插鼻肠管的应用价值。方法 方便选取2018年6月—2019年6月于该院收治的68例重症急性胰腺炎患者作为研究对象，将其随机分为两组，对照组采用常规的床旁盲插被动依赖法，观察组采用主动注气盲插鼻肠管，通过对两组患者的置管成功率、临床疗效、并发症情况分别进行分析。结果 可从两组患者置管成功率比较结果数据中看出，观察组置管成功率为91.18%，远高于对照组置管成功率的70.59%，且两组数据统计分析差异有统计学意义(χ2=4.660，P>0.05);对照组的总有效率为79.41%，观察组总有效率得到了很大的提高，达到了97.06%，且两组总有效率差异有统计学意义(χ2=5.100，P<0.05);观察组患者并发症发生率为17.65%，明显低于对照组患者并发症发生率的38.24%，两组数据差异有统计学意义(χ2=4.533，P<0.05)。结论 主动注气盲插鼻肠管可以增加置管成功率、提高临床有效率、降低患者并发症，在重症胰腺炎患者早期肠内营养护理有很好的应用价值，可以有效用于重症胰腺炎患者早期肠内营养护理，为进一步治疗重症胰腺炎奠定基础。
[关键词] 重症胰腺炎;肠内营养;肠外营养;主动注气盲插鼻肠管
[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742(2020)07(c)-0146-03
[Abstract] Objective To explore the application value of active gas injection blind insertion into the nasointestinal tube in early enteral nutrition nursing of severe acute pancreatitis. Methods Sixty-eight patients with severe acute pancreatitis admitted to the hospital from June 2018 to June 2019 were convenient selected as the research object， and they were randomly divided into two groups. The control group adopted conventional bedside blind insertion passive dependence method. The observation group adopted active gas injection blindly insert the nasointestinal canal， and the success rate， clinical efficacy， and complications of the two groups were analyzed. Results It can be seen from the data of the comparison of the success rate of tube placement between the two groups of patients. The success rate of tube placement in the observation group was 91.18%， which was much higher than the success rate of tube placement in the control group， which was 70.59%， with statistically significant difference (χ2=4.660，P>0.05); the total effective rate of the control group was 79.41%， the total effective rate of the observation group was greatly improved， reaching 97.06%， and the total effective rate of the two groups was statistically significantly different (χ2=5.100， P<0.05); the incidence of complications in the observation group was 17.65%， which was significantly lower than the incidence of complications in the control group， 38.24%. The difference is statistically significant (χ2=4.533，P<0.05). Conclusion Active infusion of a blind nasal enteric tube can increase the success rate of tube placement， improve clinical efficiency and reduce patient complications， and has good application value in early enteral nutrition care for patients with severe pancreatitis， which can be used effectively in early enteral nutrition care for patients with severe pancreatitis， laying the foundation for further treatment of severe pancreatitis., http://www.100md.com(陈亚观 陈丽春)
[关键词] 重症胰腺炎;肠内营养;肠外营养;主动注气盲插鼻肠管
[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742(2020)07(c)-0146-03
[Abstract] Objective To explore the application value of active gas injection blind insertion into the nasointestinal tube in early enteral nutrition nursing of severe acute pancreatitis. Methods Sixty-eight patients with severe acute pancreatitis admitted to the hospital from June 2018 to June 2019 were convenient selected as the research object， and they were randomly divided into two groups. The control group adopted conventional bedside blind insertion passive dependence method. The observation group adopted active gas injection blindly insert the nasointestinal canal， and the success rate， clinical efficacy， and complications of the two groups were analyzed. Results It can be seen from the data of the comparison of the success rate of tube placement between the two groups of patients. The success rate of tube placement in the observation group was 91.18%， which was much higher than the success rate of tube placement in the control group， which was 70.59%， with statistically significant difference (χ2=4.660，P>0.05); the total effective rate of the control group was 79.41%， the total effective rate of the observation group was greatly improved， reaching 97.06%， and the total effective rate of the two groups was statistically significantly different (χ2=5.100， P<0.05); the incidence of complications in the observation group was 17.65%， which was significantly lower than the incidence of complications in the control group， 38.24%. The difference is statistically significant (χ2=4.533，P<0.05). Conclusion Active infusion of a blind nasal enteric tube can increase the success rate of tube placement， improve clinical efficiency and reduce patient complications， and has good application value in early enteral nutrition care for patients with severe pancreatitis， which can be used effectively in early enteral nutrition care for patients with severe pancreatitis， laying the foundation for further treatment of severe pancreatitis., http://www.100md.com(陈亚观 陈丽春)