摘要
目的探讨自制空肠营养管在胃镜下的两种置管方法的优越性。方法将入选的41例病例按随机数字表法分为研究组(26例)和对照组(15例),对照组采用胃镜下直接用异物钳钳夹空肠营养管头端,推送胃镜将空肠营养管到降部;研究组采用在胃镜、异物钳、黄斑导丝或肠活检钳的介入下置管。观察2组置管时间、成功率、异物钳夹住空肠营养管头端的次数及并发症。结果研究组较对照组置管时间优良率(96.2%比73.3%)、置管成功率(96.2%比73.3%)、异物钳夹住营养管头端优良率(92.3%比66.7%)、并发症发生率(0.0%比13.3%)差异有统计学意义(P<0.05)。2组均未发生死亡病例。结论采用自制空肠营养管在胃镜、异物钳、黄斑导丝或肠活检钳的介入下置管方法操作简单、时间短、成功率高。
Objective To discuss the advantages of two methods of gastroscopic placement of homemade jejunal feeding tubes. Methods Forty-one patients were randomly divided into two groups. In control group （15 patien ts） ,the jejunal feeding tube was clamped at head end with grasping forceps under gastroscope and was pushed to descending part. In study group （26 pa-tients） ,the jejunal feeding tube was placed by using gastroscope, grasping forceps, guidewire or intestinal biopsy forceps. The catheterization time,success rate,number of times head end of jeju-nal feeding tube was clamped,and complications were observed in both groups. Results The ex-cellent rate of catheterization time, success rate of catheterization, excellent rate of clamping head end of jejunal feeding tube, and incidence of complications were, respectively, 96. 2 % , 96. 2%, 92. 3% and 0.0% in study group,and 73. 3%,73. 3%,66. 7 % and 13. 3 % in control group. No deaths occurred in both groups. Conclusion The use of gastroscope, grasping forceps, guidewire or intestinal biopsy forceps can simplify the operation, shorten the time and increase the successrate for the placement of jejunal feeding tubes.
出处
《实用临床医学（江西）》
CAS
2017年第4期1-3,41,108,共5页
Practical Clinical Medicine
基金
遵义市科技支撑计划项目(遵市科合社字[2014]53号)
关键词
自制空肠营养管
置管技术
对比研究
Objective To discuss the advantages of two methods of gastroscopic placement of homemade jejunal feeding tubes. Methods Forty-one patients were randomly divided into two groups. In control group （15 p a t ien ts） ,the jejunal feeding tube was clamped at head end with grasping forceps under gastroscope and was pushed to descending part. In study group （26 pa-tients） ,the jejunal feeding tube was placed by using gastroscope, grasping forceps, guidewire or intestinal biopsy forceps. The catheterization time,success rate,number of times head end of jeju-nal feeding tube was clamped,and complications were observed in both groups. Results The ex-cellent rate of catheterization time, success rate of catheterization, excellent rate of clamping head end of jejunal feeding tube, and incidence of complications were, respectively, 96. 2 % , 96. 2%, 92. 3% and 0.0% in study group,and 73. 3%,73. 3%,66. 7 % and 13. 3 % in control group. No deaths occurred in both groups. Conclusion The use of gastroscope, grasping forceps, guidewire or intestinal biopsy forceps can simplify the operation, shorten the time and increase the success rate for the placement of jejunal feeding tubes.KEY WORDS： homemade jejunal feeding tubes
catheterization
comparison
