Abstract:

 Objective To summarize up the experience of nasointestinal tube catheter and skill introduction based on the improvement of the traditional nasointestinal tube catheterization. Methods A total of 94 patients of ICU in were included in the study, and divided into normal group and improvement group, each group with 47 cases. Patients in the general group were treated with traditional nasal intesti-nal tube catheterization by hand, and the patients in the improvement group were treated with a modified catheterization approach at the bedside. The catheterization time, success rate, adverse reactions and complications of the two groups were recorded. Results The time of catheterization were 25.8±6.36 min in the improvement group and 23.8 ± 5.36 min in the normal group. The success rate of two groups was 89.3%（42/47）in the improvement group and 57.4%（27/47）in the normal group, and there was a sta-tistical difference between two groups. There was no significant difference between the two groups in the adverse reactions during catheterization process and complications. Conclusion The improvement of the procedure of manual nasal tube implantation had more clear steps and operation details, which was help-ful to improve the success rate of indwelling tube.

Key words: severe patients, nursing, nasointestinal tube

摘要：

目的 对传统鼻空肠管置入术进行了改进，并且总结了置管过程中的技巧，观察ICU患者的置管成功率。方法 将94例ICU患者分为普通组和改进组，每组各47例。普通组患者采用传统鼻空肠管植入法置管，改进组患者采用改进后鼻空肠管植入法置管，两组患者由同一人置管。记录两组置管的时间、成功率、患者的不良反应和并发症。结果 改进组患者一次置管时间为25.8±6.36min，成功率89.3%（42/47）；普通组一次置管时间为23.8±5.36min，成功率57.4%（27/47），改进组成功率高于传统组（P<0.05）。两组的患者在置管过程的不良反应及并发症方面的差异没有统计学意义。结论 改进后徒手置鼻肠管置入术有更清晰的步骤和操作细节，有利于提高鼻空肠管的置管成功率。

关键词: CORPAK 胃肠营养管, 护理 , 重症患者