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岭南现代临床外科 ›› 2016, Vol. 16 ›› Issue (06): 760-762.DOI: 10.3969/j.issn.1009-976X.2016.06.032

• 外科护理 • 上一篇    

ICU患者鼻肠营养管的选择和应用

罗玉珍 李润华 冼晓兰 黎彦彤   

  1. 广东省江门市中心医院
  • 通讯作者: 罗玉珍

Analysis of the application effect of two kinds of naso-intestinal feeding tube in ICU patients

LUO Yuzhen,LI Runhua,XIAN XiaoLan,LI Yantong   

  • Online:2016-12-20 Published:2016-12-20

摘要: 【摘要】目的分析库派鼻肠营养管及复尔凯螺旋型鼻肠营养管盲视法置管在ICU患者中 应用效果的对比。方法对2013年1月~2015年12月本院ICU 80例患者行鼻肠营养管盲视法置管进行回顾性分析,按营养管类型分为2 组,观察组(库派鼻肠营养管)40 例,对照组(复尔凯螺旋型鼻肠营养管)40例,比较2组一次置管成功率,二次置管成功率、置管失败率、成功置管所需时间。结果库派鼻肠营养管一次成功率高于复尔凯螺旋型鼻肠营养管(分别为87%和12.5%),复尔凯螺旋型鼻肠营养管往往通过胃镜辅助下置管。库派鼻肠营养管置管时间为31.26±10.94 min,复尔凯螺旋型鼻肠营养管需要借助于胃动力作用到达十二指肠,时间为12.5±8.9 h。结论ICU患者往往伴有胃动力功能障碍,选择鼻肠营养管进行肠内营养时,库派鼻肠营养管盲视法置管简单、成功率高、置管时间短。

关键词: ICU, 库派鼻肠营养管, 复尔凯螺旋型鼻肠营养管

Abstract: 【Abstract】Objective To analysis the effect and feature of The Flocare Bengmark- Naso -Intestinal tube and CORTRAK- polyurethane tubes. Methods A total of 80 cases with naso-intestinal tube for enteral nutrition were selected and assigned to Locare Bengmark group (using The Flocare Bengmark-Naso-Intestinal tube,n=40)and CORTRAK group(using CORTRAK polyurethane tube,n=40). The effect and feature were analyzed. Results The patients in CORTRAK group showed a high success rate(75%)and operate time was 31.26±10.94 min(P<0.05). Conclusion ICU patients are often accompanied by gastric motility dysfunction. The enteral tube feeding,dependent of normal gastric motility function such as the Flocare Bengmark- Naso-Intestinal tube,should be replaced with CORTRAK polyurethane tube.

Key words: Flocare spiral nasointestinal tube, ICU patients, Cooper nasojejunal tube

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