摘要
目的探讨内镜直视下小肠置管进行肠内营养的临床应用效果。方法对78例需要营养支持治疗的患者在内镜直视下采用置入法放置鼻肠管进行肠内营养支持治疗。结果 78例患者置管时间为(10.5±2.3)min,一次操作置管成功率为85.9%(67/78),2次或以上操作置管成功率为12.8%(10/78),总成功率为98.7%(77/78)。1例患者因初次置管未成功后拒绝再次置管改行肠外营养支持治疗。置管行肠内营养支持治疗后患者的营养状况明显改善,体质量、血红蛋白以及血清白蛋白较置管前显著提高(均P<0.05)。患者置管术中及术后3 h的心率、呼吸、平均动脉压与置管前比较,差异均无统计学意义(均P>0.05)。未见有腹痛、消化道出血、穿孔及误插入气管等并发症发生。结论经内镜直视安置小肠鼻肠管成功率高、安全性好,操作简单易行。
Objective To observe the clinical application of enteral nutrition with endoscopic intestinal catheterization.Methods Seventy-eight patients received early enteral nutrition therapy with endoscopic intestinal catheterization.Results The average indwelling time of catheters was（10.5±2.3） minutes.The success rate of catheterization was 85.9%（67/78）on the first attempt and 12.8%（10/78）on the second attempt or more.The overall success rate was 98.7%（77/78）.One patient refused catheter placement after failed initial catheterization and was converted to parenteral nutrition support therapy.The nutritional status was improved,water-lectrolyte imbalance was corrected,and body mass,hemoglobin and serum total protein levels were increased after enteral nutrition therapy（all P0.05）.Compared with the levels before catheterization,heart rate,breathing rate and mean arterial blood pressure were not significantly changed during and 3 hours after catheterization（P0.05）.No complica-tions such as abdominal pain,gastrointestinal bleeding,gastrointestinal perforation and incorrect cathet-erization into the trachea occurred in all patients.Conclusion Enteral nutrition therapy with endosc-opic intestinal catheterization has the advantages of high success rate,good safety and simple operation.
出处
《实用临床医学（江西）》
CAS
2013年第1期31-32,47,共3页
Practical Clinical Medicine
基金
广东省茂名市科技计划(2011093)
关键词
内镜
鼻肠管
肠内营养
endoscope
intestinal catheter
enteral nutrition
