盲人与内镜引导后皮洛里食管放置在患有缺血性中风的成年人中:一项回顾性队列研究
Chun Sun1,2, Kangyi Yuan3, Qiyuan Gao4
1Neurology Intensive Care Unit, Wuhan Hospital of Traditional Chinese and Western Medicine, Wuhan, China.
JPEN. Journal of parenteral and enteral nutrition
|May 28, 2024
概括
盲目后皮洛里食管安置与缺血性中风患者的内镜导向安置同样有效,成本为一半. 然而,先前的腹部手术和更长的ICU停留率降低了成功率.
科学领域:
- 医疗程序 医疗程序
- 胃肠病学 胃肠病学
- 关键护理医学 关键护理医学
背景情况:
- 对比一次性成功率的盲人与内镜引导后皮洛里食管放置.
- 专注于患有缺血性中风的患者,遵循肠盲置的护理方案.
研究的目的:
- 为了评估盲目的效果和成本效益与内镜引导的后皮洛里食管放置.
- 确定影响初始管道安置成功率的因素.
主要方法:
- 对179个盲人安置和118个内镜引导的安置进行了回顾性队列研究.
- 主要结局:放射学证实后皮洛里安置的一次性成功率.
- 二次结果:管尖位置,插入长度,放置时间,成本和并发症发生率.
主要成果:
- 盲人安置和内镜引导安置之间的一次性成功率没有显著差异 (OR=0.41,P=0.105).
- 盲目安置的成本是内镜引导安置的一半.
- 腹部手术史 (OR=0.003,P<0.001) 和更长的ICU日 (OR=0.94,P=0.004) 与成功相反相关.
结论:
- 盲肠养管的安置相当于在经过良好训练的情况下,对缺血性中风患者进行内镜引导的安置.
- 用内镜指导的安置成本是盲目床边方法的两倍.
- 腹部手术史和长时间的ICU停留是初始安置失败的危险因素.
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