交替进镜法在经鼻肠梗阻导管置入术中的应用

Application of alternate endoscopy in transnasal placement of small intestine decompression tube

摘要:

探讨交替进镜法在经鼻肠梗阻导管置入术中的应用价值。方法?将60例拟行经鼻肠梗阻导管置入术的肠梗阻患者随机分为实验组和对照组，各30例。实验组患者应用交替进镜法置管，对照组患者采用传统的经鼻肠梗阻导管内镜下置入法。比较两组患者一次性置管成功率、置管时间、脱管率及耐受性评分。结果?实验组中29例患者一次性置管成功，对照组中21例患者一次性置管成功，实验组的成功率为96.67%，明显高于对照组的70.00%，实验组和对照组一次性置管成功率差异有统计学意义。实验组置管所用时间为（15.00±5.25）min，明显少于对照组（19.45±6.75）min；实验组脱管0例，明显低于对照组3例，实验组耐受性评分为（1.25±0.05）分，明显低于对照组（1.85±0.60）分，差异均有统计学意义（P <0.05）。结论?交替进镜法在经鼻肠梗阻导管置入术中的应用提高了置管成功率，减少置管所用时间，明显地减轻患者术中的不适，无并发症，值得临床上使用和推广。

Abstract:

To explore the application value of alternate endoscopy in transnasal intestinal obstruction catheterization. Methods 60 cases of ileus intended to be treated by nasointestinal small intestine decompression tube were randomly divided into experimental group and control group, 30 cases in each. Patients in the experimental group were treated with alternate endoscopy. Patients in the control group were treated with the traditional endoscopic transnasal small intestine decompression tube. The success rate of one-time catheterization, catheterization time, catheterization rate and tolerance score were compared between the two groups. Results 29 patients in the experimental group were successfully treated with disposable catheter, while only 21 patients in the control group were successfully treated with disposable catheter. The success rate of the experimental group was 96.67%, significantly higher than that of the control group (70.00%). There was significant difference in the success rate of one-time catheterization between the two groups. The catheterization time of the experimental group was (15.00 ± 5.25) min, significantly less than that of the control group which was (19.45 ± 6.75) min. The tolerance score of the experimental group was (1.25 ± 0.05), lower than (1.85 ± 0.60), with statistically significant differences (P < 0.05). Conclusion The application of alternate endoscopy in transnasal small intestine decompression tube can improve the success rate of catheterization, reduce the time of catheterization, and obviously reduce the discomfort during the operation without complications.