ICU患者鼻肠营养管的选择和应用

【摘要】目的分析库派鼻肠营养管及复尔凯螺旋型鼻肠营养管盲视法置管在ICU患者中应用效果的对比。方法对2013年1月~2015年12月本院ICU 80例患者行鼻肠营养管盲视法置管进行回顾性分析，按营养管类型分为2 组，观察组（库派鼻肠营养管）40 例，对照组（复尔凯螺旋型鼻肠营养管）40例，比较2组一次置管成功率，二次置管成功率、置管失败率、成功置管所需时间。结果库派鼻肠营养管一次成功率高于复尔凯螺旋型鼻肠营养管（分别为87%和12.5%），复尔凯螺旋型鼻肠营养管往往通过胃镜辅助下置管。库派鼻肠营养管置管时间为31.26±10.94 min，复尔凯螺旋型鼻肠营养管需要借助于胃动力作用到达十二指肠，时间为12.5±8.9 h。结论ICU患者往往伴有胃动力功能障碍，选择鼻肠营养管进行肠内营养时，库派鼻肠营养管盲视法置管简单、成功率高、置管时间短。

Analysis of the application effect of two kinds of naso-intestinal feeding tube in ICU patients

【Abstract】Objective To analysis the effect and feature of The Flocare Bengmark- Naso -Intestinal tube and CORTRAK- polyurethane tubes. Methods A total of 80 cases with naso-intestinal tube for enteral nutrition were selected and assigned to Locare Bengmark group （using The Flocare Bengmark-Naso-Intestinal tube，n=40）and CORTRAK group（using CORTRAK polyurethane tube，n=40）. The effect and feature were analyzed. Results The patients in CORTRAK group showed a high success rate（75%）and operate time was 31.26±10.94 min（P<0.05）. Conclusion ICU patients are often accompanied by gastric motility dysfunction. The enteral tube feeding，dependent of normal gastric motility function such as the Flocare Bengmark- Naso-Intestinal tube，should be replaced with CORTRAK polyurethane tube.