经鼻小肠导管置入治疗小肠梗阻85例护理体会

目的探讨鼻-肠减压管插入后的护理技术要点。方法回顾性复习鼻肠管插入治疗小肠梗阻85例的病史资料,统计鼻-肠管插入术的技术、临床成功率和并发症的发生率。结果X线透视下鼻-肠管顺利插过85例小肠梗阻病例的十二指肠屈氏韧带,技术成功率100%,其中76例患者的呕吐、腹痛、腹胀等小肠梗阻症状有不同程度的缓解,临床成功率89.4%。9例症状没有缓解,经造影检查确认或存在第二梗阻或存在闭袢性的小肠梗阻。咽喉部不适或疼痛感几乎发生在所有病例,经耐心的心理护理后,仅1例感疼痛无法接受。鼻-肠管阻塞引流不畅45例,发生率为52.9%,经冲洗术后导管重新恢复引流。无出血、穿孔和吸入性肺炎等其他严重并发症的发生。结论鼻-肠管插入术是一种安全有效的引流减压技术,尤适用于单纯性的低位小肠梗阻,但术后咽喉部疼痛和导管阻塞等相关的并发症十分常见,重视疼痛的心理护理和导管的冲洗护理有助于进一步提高治疗效果

To report experience naso-intestinal tube intubation in 85 patients with small bowel on nursing

Objective To assess the key to the nursing in the management of small bowel obstruction using nasi-intestinal tube for decompression. Methods The medical records in 85 patients with small bowel obstruction were reviewed. The rate of technical, clinical success and complications were determined in all cases. Results the naso-intestinal tube in all patients with small bowel obstruction were inserted into small intestine near Tres ligament or further down distally for decompression. The Technical success appro...