小容量注射器预防鼻肠管堵管临床应用与评价.docVIP

小容量注射器预防鼻肠管堵管临床应用与评价 　　[摘要]目的 探讨小容量注射器行脉冲式冲管在预防鼻肠管堵管的临床应用价值。方法 回顾性分析2016年6月～2017年6月江西省上饶市人民医院重症医学科100例行经鼻肠管肠内营养患者的临床资料，根据不同鼻肠管腔冲洗方式分为两组，各50例。两组肠内营养物均为能全力，?φ兆椴捎?50 ml注射器行匀速推注法冲洗管腔，观察组采用10 ml注射器行脉冲式冲洗管腔。比较两组再插管率、鼻肠管留置时间、住院时间、住院费用、护理满意度、及不良反应发生率。结果 观察组再插管率为4.00%，明显低于对照组16.00%，差异有统计学意义（P0.05）；观察组鼻肠管留置时间明显长于对照组，住院时间明显短于对照组，住院费用明显低于对照组，差异有统计学意义（P0.05）；观察组护理满意度为90.00%，明显高于对照组的74.00%，差异有统计学意义（P0.05）；观察组不良发生发生率为6.00%，明显低于对照组的20.00%，差异有统计学意义（P0.05）。结论 小容量注射器可有效预防鼻肠管堵管，降低再插管率，延长鼻肠管留置时间，缓解患者痛苦，改善护理满意度，值得推广应用。 　　[关键词]鼻肠管堵管；小容量注射器；肠内营养 　　[中图分类号] R472 [文献标识码] A [文章编号] 1674-4721（2017）08（c）-0188-03 　　[Abstract]Objective To investigate the clinical application value of small-volume syringe with impulse pipe blowing in the prevention of nasointestinal tube blocking.Methods The clinical data of 100 patients with enteral nutrition through nasointestinal tube in the department of intensive care unit in Shangrao People′s Hospital in Jiangxi from June 2016 to June 2017 were retrospectively analyzed.All the patients were divided into two groups according to irrigation methods of nasointestinal tube，50 cases in each.The enteral nutrients of two groups were nutrison fibre.The control group was given uniform velocity irrigation with 50 ml syringe，while the observation group was given impulse irrigation with 10 ml syringe.The reintubation rate，indwelling time of nasointestinal tube，hospital stays，hospitalization expense，nursing satisfaction and the incidence of adverse reactions were compared between the two groups.Results The reintubation rate of the observation group was 4.00%，which was lower than 16.00% of the control group （P0.05）；the indwelling time of nasointestinal tube in the observation group was longer than that in the control group，the hospital stays were shorter than those in the control group，and the hospitalization expense was lower than that in the control group （P0.05）；the nursing satisfaction of the observation group was 90.00%，which was higher than 74.00% of the control g