[1]史萍慧,傅 燕.介入方法在胃镜下鼻空肠营养管困难置管中的应用[J].肠外与肠内营养杂志,2020,(04):226-229.[doi:DOI : 10.16151/j.1007-810x.2020.04.008]
　SHI Ping-hui,FU Yan.Clinical application of interventional technique in placement of nasojejunal feeding tube assisted by gastroscopy[J].PARENTERAL & ENTERAL NUTRITION,2020,(04):226-229.[doi:DOI : 10.16151/j.1007-810x.2020.04.008]
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介入方法在胃镜下鼻空肠营养管困难置管中的应用
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《肠外与肠内营养》杂志[ISSN:1007-810X/CN:32-1477/R]

卷:
期数:
2020年04期
页码:
226-229
栏目:
论著
出版日期:
2020-07-10

文章信息/Info

Title:
Clinical application of interventional technique in placement of nasojejunal feeding tube assisted by gastroscopy
作者:
史萍慧 1; 傅 燕 2
1.个旧市人民医院消化内科，云南个旧 661000；2. 昆明医科大学第二附属医院消化内镜室，云南昆明 650101
Author(s):
SHI Ping-hui1;  FU Yan2
1. Department of Gastroenterology, Gejiu People′s Hospital, Gejiu 661000, Yunnan, China; 2.Department of Gastrointestinal Endoscopy, The second Aiffiliated Hospital of Kunming Medical University, Kunming 650101,Yunnan, China
关键词:
介入方法 ; 鼻空肠营养管 ; 胃镜 ; 黄斑马导丝 ; X线 ; 肠内营养
Keywords:
Interventional technique;  Nasojejunal feeding tube;  gastroscope;  Yellow zebra guide wire;  X-ray; Enteral nutrition
分类号:
R459.3
DOI:
DOI : 10.16151/j.1007-810x.2020.04.008
文献标志码:
A
摘要:
目的：评价对胃镜直视下鼻空肠营养管困难置管的病人，应用介入方法辅助置管有效性和安全性。 方法：对 44例常规胃镜下鼻空肠营养管置管失败的病人，通过 X线引导，在胃镜直视下用黄斑马导丝辅助置入鼻空肠营养管。 结果：介入方法辅助胃镜下鼻空肠营养管困难置管成功率为 95.5%，操作时间 12 ~ 28 min,病人耐受较好，没有发生鼻咽部损伤、腹痛、穿孔、消化道出血等并发症，留置鼻空肠营养管 2周内未发生堵管。 结论：介入方法辅助胃镜下鼻空肠营养管困难置管的方法有效、安全、可靠。
Abstract:
Objective: To evaluate the efficacy and safety of interventional technique for difficult placement of nasojejunal feeding tube under gastroscope. Methods: 44 patients who failed to have nasojejunal feeding tube placement by the routine method were included in this study. The nasojejunal feeding tube was placed under gastroscope by inserting yellow zebra guidewire assisted by X-ray. Results: Using this interventional technique, the success rate of the feeding tube placement was 95.5% (43/44). Of the patients, the time for placing a feeding tube ranged from 12 to 28 minutes. All patients were well tolerated. No complication, such as nasopharyngeal injury, abdominal pain,gastrointestinal bleeding and perforation, was observed in these patients. Also, no tube blockade was presented within 2 weeks. Conclusion: The interventional technique should be considered as an effective and safe method for placing nasojejunal feeding tube assisted by gastroscopy in clinical practice.

参考文献/References:


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备注/Memo

备注/Memo:
作者简介 ：史萍慧，副主任医师，医学硕士，从事消化内镜专业。E-mail：502867596@qq.com 通讯作者 ：傅 燕，E-mail：ky_fuyan@163.com
更新日期/Last Update: 1900-01-01