CAJ | 학술논문

目的：探讨X线透视引导下肠内营养管置入的临床效果。方法从该院2013年9月—2014年9月收治的需接受肠内营养支持的患者中随机选择103例进行研究，给予X线透视引导置入肠内营养管。观察肠内营养管的一次置管成功率和平均置管操作时间以及并发症发生情况，并进行分析。结果103例患者均一次置管成功，一次置管成功率为100.0%，平均操作置管时间（7.92依0.25)min。经统计，在置管过程中，一共有6例患者诉鼻咽部不适，置管结束后均消失，未给予特殊处理。所有患者均未出现会厌功能紊乱、误插、吸入性肺炎、心律失常等并发症。结论 X线透视下引导置入肠内营养管可以达到良好的一次成功置管效果，置管操作时间短，并发症少，具有良好的临床应用效果。
목적：탐토X선투시인도하장내영양관치입적림상효과。방법종해원2013년9월—2014년9월수치적수접수장내영양지지적환자중수궤선택103례진행연구，급여X선투시인도치입장내영양관。관찰장내영양관적일차치관성공솔화평균치관조작시간이급병발증발생정황，병진행분석。결과103례환자균일차치관성공，일차치관성공솔위100.0%，평균조작치관시간（7.92의0.25)min。경통계，재치관과정중，일공유6례환자소비인부불괄，치관결속후균소실，미급여특수처리。소유환자균미출현회염공능문란、오삽、흡입성폐염、심률실상등병발증。결론 X선투시하인도치입장내영양관가이체도량호적일차성공치관효과，치관조작시간단，병발증소，구유량호적림상응용효과。
Objective To explore the effect of fluoroscopy guided placement of enteral nutrition tube. Method 103 cases of accept the enteral nutrition support in patients in our hospital from September 2013 to September 2014 were selected ,and were given X-ray method to insert enteral fluoroscopy guided placement of enteral nutrition tube.The once average success rate of catheterization and catheterization operation time and complications of the patientswere observed. Results 103 cases of patients were catheterized success, a success rate of catheterization was 100%, the mean catheterization operation time(7.92±0.25) min. By the statistics, in the process of inserting tubes, a total of 6 patients complained of nasal pharyngeal discom-fort, catheter after disappeared, did not give special treatment. Epiglottic dysfunction, MIS, aspiration pneumonia, arrhythmi-a, all patients had no complications. Conclusion Fluoroscopy guided by enteral nutrition tube can reach a good effect of the success of the tube, tube short operation time, less complications, has a good clinical effect.