Zhonghua yi xue za zhi · 2015
[Application of B-ultrasound monitoring plus gastric insufflation for nasointestinal tube indwelling in critical neurosurgical patients].
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Yu Huijie, Xu Xiaoqin, Xu Songao, Xu Jun, Xu Mingmin, Cao Weizhong
Аннотация
OBJECTIVE: To explore the application of B-ultrasound monitoring plus gastric insufflation for nasointestinal tube indwelling in critical neurosurgical patients.
METHODS: A total of 96 critical comatose neurosurgical patients indicated for nasointestinal tube indwelling were randomized into three groups of routine (A, n = 32), gastric insufflation (B, n = 31) and B-ultrasound monitoring plus gastric insufflation (C, n = 33). And the position of nasointestinal tube was observed within 24 h and at 72 h in three groups.
RESULTS: The general profiles of three groups showed no significant differences (P > 0.05). The proportions of nasointestinal tube passing pylorus within 24 h in three groups were 43.8%, 74.2% and 93.9% respectively. Comparing group C with groups A and B, the differences presented statistical significance. The proportions of nasointestinal tube passing pylorus at 72 h in three groups were 68.8%, 83.9% and 100% respectively. Comparing group C with groups A and B, the differences had statistical significance.
CONCLUSION: Refined method of nasointestinal tube indwelling and B-ultrasound monitoring may boost the rate of successful indwelling.It is worth wider promotion and application.
METHODS: A total of 96 critical comatose neurosurgical patients indicated for nasointestinal tube indwelling were randomized into three groups of routine (A, n = 32), gastric insufflation (B, n = 31) and B-ultrasound monitoring plus gastric insufflation (C, n = 33). And the position of nasointestinal tube was observed within 24 h and at 72 h in three groups.
RESULTS: The general profiles of three groups showed no significant differences (P > 0.05). The proportions of nasointestinal tube passing pylorus within 24 h in three groups were 43.8%, 74.2% and 93.9% respectively. Comparing group C with groups A and B, the differences presented statistical significance. The proportions of nasointestinal tube passing pylorus at 72 h in three groups were 68.8%, 83.9% and 100% respectively. Comparing group C with groups A and B, the differences had statistical significance.
CONCLUSION: Refined method of nasointestinal tube indwelling and B-ultrasound monitoring may boost the rate of successful indwelling.It is worth wider promotion and application.