床边超声导向的鼻肠道管道放置在重症病患在重症监护室的重症病患
Alternative therapies in health and medicine
|August 13, 2023
概括
床边超声指导改善了严重病重的ICU患者的鼻肠道管 (NIT) 放置成功率. 这种技术提供了一个比传统的盲人插入更安全的替代方案,以改善患者的治疗结果.
科学领域:
- 临界护理医学 临界护理医学
- 医疗成像医学成像
- 胃肠病学 胃肠病学
背景情况:
- 鼻肠道管 (NIT) 的放置对于重症病重症病房患者的营养支持至关重要.
- 传统的盲目插入方法用于NIT安置具有可变的成功率和潜在的并发症.
- 需要改进,更安全的技术用于NIT安置在重症监护室.
研究的目的:
- 为了评估床边超声波引导的鼻肠道管 (NIT) 放置的疗效和安全性.
- 为了比较超声指导与传统的盲人插入,在重症患者中进行NIT安置.
主要方法:
- 一项随机对照试验,涉及100名重症病患在ICU.
- 患者被分为两组:床边超声指导 (BUG) 和传统的盲人插入 (TBI).
- 组之间比较了NIT安置的有效性 (成功率,正确安置) 和安全性.
主要成果:
- 与TBI组相比,BUG组的NIT安置成功率 (74%) 显著高于TBI组 (44%).
- 肠道导管部位的比例在BUG组 (72%) 与TBI组 (46%) 相比较高.
- 虽然BUG组的平均插入尝试和输管时间略高,但这种差异在统计学上并不显著.
结论:
- 床边超声导向的NIT安置是重症监护病房患者的有效技术.
- 这种方法提高了鼻肠道管道安置的成功率.
- 超声指导显示,NIT在重症监护机构的插入具有有利的安全概况.
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