Improvement of bedside blind placement of bengmark nasointestinal tube and its clinical effects
10.3760/cma.j.issn.1674-2907.2018.33.018
- VernacularTitle:床旁跨幽门螺旋型鼻肠管盲插方法的改良及应用效果评价
- Author:
Qimi HUANG
1
;
Jinsha LYU
;
Weijia LIU
;
Chunhua LI
;
Hui LIN
;
Junlan HUI
Author Information
1. 陆军军医大学附属新桥医院消化内科
- Keywords:
Pancreatitis;
Enteral nutrition;
Nasointestinal tube;
Blind placement;
Improvement
- From:
Chinese Journal of Modern Nursing
2018;24(33):4054-4057
- CountryChina
- Language:Chinese
-
Abstract:
Objective To improve the method of bedside blind placement of bengmark nasointestinal tube, and evaluate its application effect in severe acute pancreatitis (SAP) patients. Methods Combined with clinical practice experience, the "four-point testing method" "four-point auscultation method" and "gently shaking method" were applied to the traditional blind placement, so as to form a standard, operative and highly-qualified blind placement method of the blind placement of the bengmark nasointestinal tube. A total of 50 SAP patients hospitalized in the Gastroenterology Department of Xinqiao Hospital Affiliated to Army Medical University from November 1st, 2016 to March 31st, 2018 were recruited to evaluate the catheterization success rate of the new catheterization method, time-consuming of catheterization, vital signs, catheter-related complications, patient satisfaction, and other indicators. Results The success rate of bedside blind placement of bengmark nasointestinal tube in 50 patients with SAP was 96% (48/50). The median catheterization time was 22.8 (minimum 10 to longest 60) min. There was no statistical significance in the differences of blood pressure, heart rate, respiration, and oxyhemoglobin saturation before and after catheterization (P＞ 0.05). No arrhythmia, bleeding, perforation, misplaced airways, and other related complications occurred. The satisfaction degree of catheterization was 100% (50/50). Conclusions The improved bedside blind placement of bengmark nasointestinal tube has the advantages of strong operability, easy to learn and use, and at the same time has good results in the preliminary application of SAP patients. It can be used in further randomized controlled trials with higher intensity of demonstration and can be used in severe patients.
