当管道不行时:难以进行鼻胃输管的策略
Hashim Vakil1, Anoir Lagzouli2, Emily Lowe3
1Orthopaedic Surgery, Southampton General Hospital NHS Foundation Trust, Southampton, GBR.
Cureus
|December 15, 2025
概括
难以插入的鼻胃管 (NGT) 可以通过辅助技术来改善. 灵活鼻腔镜 (FNE) 引导的方法提高了患者的舒适性和程序效率,尽管需要进一步的试验.
科学领域:
- 医疗程序 医疗程序
- 胃肠病学 胃肠病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 鼻胃管 (NGT) 插入对于患有吞困难的患者至关重要.
- 解剖学变异和先前的干预措施可能会使NGT安置复杂化.
- 耳鼻喉科医生经常使用柔性鼻腔镜 (FNE) 进行困难的NGT插入在清醒的患者.
研究的目的:
- 根据FNE指导,审查辅助技术,以加强难以插入的NGT.
- 确定提高成功率,患者舒适度和程序效率的策略.
主要方法:
- 在PubMed和谷歌学者 (2005-2025) 的叙事文献评论.
- 搜索术语包括"鼻胃管"",难以插入"和"插入技术".
- 包括专注于成人清醒患者的研究;不包括麻醉患者. 对设计,技术和结果提取的数据.
主要成果:
- 确定了11个出版物,描述了诸如NGT预冷,嗅探位置和SORT机动等技术.
- 还检查了使用手术结或凝盖的FNE辅助方法.
- 虽然技术提高了效率和操作员控制,但没有证明成功率有持续的统计改善. 用FNE指导的方法改善了患者的舒适性和独立性.
结论:
- 难以插入NGT仍然是一个临床挑战.
- 将物理管改造与FNE可视化相结合,可以在复杂的情况下提高安全性和效率.
- 需要进一步的随机对照试验来评估疗效,并为清醒的患者建立标准化方案.
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