摘要
目的探讨液囊空肠管在需要肠内营养的重症患者中留置空肠的可行性。方法 120例需要肠内营养的重症患者,其中60例使用液囊空肠管置入,另60例患者使用普通鼻空肠管置入。首先根据消化液不同的pH值初步判定头端是否位于胃肠内的相应位置。以pH值>7判定为空肠管已通过十二指肠,位于空肠段位置。最后以X线片显示头端位于空肠内。对照两组空肠管置入成功率。结果液囊空肠管组置入成功46例,成功率为76.7%。普通空肠管组置入成功22例,成功率为36.7%。两组比较差异有统计学意义(P<0.05)。结论留置液囊空肠管操作简便,成功率高。在重症患者实现肠内营养中具有重要临床意义。
Objective To investigate the feasibility of detaining liquid-bag tube in jejunum in critically ill patients.Methods 120 critically ill patients who needed enteral nutrition were randomized into two groups.Group A（n=60） was given liquid-bag tube in jejunum,while group B was given nose-intestinal feeding tube.Whether the head-end position was in corresponding position was determined by the pH value of digestive juice,and pH7 could be used as the criteria to judge the tube having come through duodenum and in jejunum.Finally,X-ray examination showing head end in jejunum was regarded as the gold standard,and the success rate of the two groups was compared.Results 46 cases were successfully placed in liquid-bag tube group with a success rate of 76.7%,while 22 cases were successfully placed in nose-intestinal feeding tube group with a success rate of 36.7%.The difference between the two groups was statistically significant（P〈0.05）.Conclusion Detaining Liquid-bag tube in jejunum is easy to operate with high success rate.It is of great importance for critically ill patients to achieve enteral nutrition.
出处
《中国全科医学》
CAS
CSCD
北大核心
2012年第21期2461-2463,共3页
Chinese General Practice
基金
广西科技厅课题(2010GXNSFA013228)
广西卫生厅重点课题(桂卫重2011110)
广西卫生厅课题(桂卫Z2010246)
关键词
液囊空肠管
肠道营养
危重病
Liquid-bag jejunal tube
Enteral nutrition
Critical illness
作者简介
通讯作者:郑红雨,530021广西南宁市,广西壮族自治区人民医院超声科,E-mail:zhenghongyu@hotmail.com
