[1]黄彩云,石 萍,李 娜,等.重症急性胰腺炎腹腔高压对旋转推进法留置鼻肠管成功率影响[J].肠外与肠内营养杂志,2021,(03):167-170.[doi:10.16151/j.1007-810x.2021.03.009]
 HUANG Cai-yun,SHI Ping,LI Na,et al.The impact of severe acute pancreatitis with intra-abdominal hypertension on the success rate of placing nasojejunal tube by rotating advance method[J].PARENTERAL & ENTERAL NUTRITION,2021,(03):167-170.[doi:10.16151/j.1007-810x.2021.03.009]
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重症急性胰腺炎腹腔高压对旋转推进法留置鼻肠管成功率影响
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《肠外与肠内营养》杂志[ISSN:1007-810X/CN:32-1477/R]

卷:
期数:
2021年03期
页码:
167-170
栏目:
论著
出版日期:
2021-05-10

文章信息/Info

Title:
The impact of severe acute pancreatitis with intra-abdominal hypertension on the success rate of placing nasojejunal tube by rotating advance method
作者:
黄彩云石 萍李 娜张丽丽陈 贵庞杰媚
广西医科大学第六附属医院 玉林市第一人民医院重症医学科,广西玉林 537000
Author(s):
HUANG Cai-yun SHI Ping LI Na ZHANG Li-li CHEN Gui PANG Jie-mei
The Sixth Affiliated Hospital of Guangxi Medical University,The First People's Hospital of Yulin City ICU,Yulin 537000, Guangxi, China
关键词:
旋转推进法 重症急性胰腺炎 腹腔高压 鼻肠管
Keywords:
Rotary propulsion Ever acute pancreatitis Intra-abdominal hypertension Naso intestinal tract
分类号:
R576
DOI:
10.16151/j.1007-810x.2021.03.009
文献标志码:
A
摘要:
目的:探讨重症急性胰腺炎(SAP)伴腹腔内高压(IAH)病人对旋转推进法留置鼻肠管成功率的影响。 方法:82例确诊 SAP并 IAH病人根据腹腔压力值分成 4组,A 组(IAP 12 ~ 15 mmHg,n = 19)、B组(IAP 16 ~20 mmHg,n = 20)、C组(IAP 21 ~ 24 mmHg,n = 22)、D组(IAP > 25 mmHg,n = 21)。各组病人分别应用旋转推进法留置鼻肠管,比较不同腹腔压力下鼻肠管置管时间、置管成功率、置管并发症。 结果:四组病人置管时间比较差异有统计学意义(P < 0.001),随着腹腔压力的增高置管时间逐渐延迟;四组病人置管成功率间比较差异有统计学意义(P < 0.05),随着腹腔压力的增高置管成功率逐渐下降;四组病人恶心呕吐发生率间比较,差异有统计学意义(P < 0.05);有 1例病人发生鼻粘膜出血,各组病人置管均无消化道出血或穿孔严重并发症发生。 结论:重症急性胰腺炎合并腹腔高压病人腹腔压力大小对旋转推进法留置鼻肠管的置管时间及成功率有明显影响,腹腔压力不断增高,置管的时间显著延长,置管成功率明显下降,SAP病人入院后及早留置鼻肠管可提高置管成功率,减少置管耗时;旋转推进置管法操作简单安全、并发症少、置管成功率高、置管耗时短,值得推广应用。
Abstract:
Objective: To assess the impact of severe acute pancreatitis (SAP) with intra-abdominal hypertension(IAH) on the success rate of placing nasojejunal tube by rotating advance method. Methods: Eighty two patients diagnosed with severe acute pancreatitis (SAP) and intra-abdominal hypertension (IAH) were divided into 4 groups according to the levels of abdominal pressure, group A (IAP 12 ~ 15 mmHg, n = 19), group B (IAP 16 ~ 20 mmHg, n =20), group C (IAP 21~24 mmHg, n = 22), and group D (IAP > 25 mmHg, n = 21). Placement of nasojejunal tubes were implemented in all the study patients using the rotating advance method/We compared the procedure duration, success rate and complications among the groups. Results: There was a statistically significant difference regarding the placement time among the four groups of patients (P < 0.001), and the required time was gradually prolonged with the increase of abdominal pressure. The success rate also differs among the four groups(P < 0.05),showing that patients with higher abdominal pressure had lower successful rates. For the complications, the difference in the incidence of nausea and vomiting among the four groups of patients was statistically significant (P < 0.05). One patient had nasal mucosal bleeding. No gastrointestinal bleeding or perforation occurred in all the study patients. Conclusions: Abdominal pressure in patients with severe acute pancreatitis and abdominal hypertension has a significant impact on the procedural time and success rate of naso-intestinal tube placement by rotating advance method. With the increase in abdominal pressure, the time required for tube placement is significantly prolonged, and the success rate droppedsignificantly. Early placement of a nasojejunal tube in SAPpatients can improve the success rate and reduce the procedural time. The rotating advance method is simple and safe, has fewer complications, high success rate, and short procedure time.

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备注/Memo

备注/Memo:
作者简介 :黄彩云,副主任护师,护理本科,主要从事危重症病人护理管理和临床研究。E-mail:hcy2388@163.com 通讯作者 :石 萍,E-mail:819520034@qq.com
更新日期/Last Update: 1900-01-01