Ultrasound-Guided Nasojejunal Tube Placement: A Simplified Approach for Improved Clinical Efficiency.

IF 1.2 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2025-04-28 DOI:10.1002/jcu.24051

Shufei Jiang, Mengyao Liu, Yulong Yao, Huijun Wang, Sufang Zhang, Jianxiao Chen, Yiwen Zheng, Hongxia Gong, Renying Xu, Lixin Jiang, Chunhua Wu

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引用次数: 0

Abstract

Purpose: To investigate the clinical effects of ultrasound-guided precise nasojejunal catheterization in critically ill patients receiving enteral nutrition.

Materials and methods: A total of 120 patients were randomly divided into control and experimental groups in a 1:1 ratio. The control group underwent blind transnasal jejunal catheterization, and the experimental group underwent ultrasound-guided transnasal jejunal catheterization. Indices related to catheterization, complications of catheterization, and nutritional status before and after catheterization were used as observation indices.

Results: The average catheterization time of the experimental group was shorter (21.28 ± 8.96 min), the success rate of one-time catheterization was significantly greater than that in the control group (93.3% vs. 80.0%), and the probability of catheter displacement/detachment was significantly lower in the experimental group than in the control group (p < 0.05). Prealbumin level, total serum protein level, and absolute number of lymphocytes were significantly greater than those in the control group and before catheterization (p < 0.05).

Conclusions: In enteral nutrition intervention for critical patients, accurate ultrasound-guided nasojejunal tube placement has the advantages of short operation time, high success rate, safety, and good nutritional support and is expected to be an ideal method for successful nasojejunal tube placement.

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超声引导下鼻空肠管放置：一种提高临床效率的简化方法。

目的：探讨超声引导下鼻空肠精确置管在危重病人肠内营养中的临床效果。材料与方法：120例患者按1:1的比例随机分为对照组和实验组。对照组采用盲经鼻空肠置管术，试验组采用超声引导下经鼻空肠置管术。以置管相关指标、置管并发症及置管前后营养状况作为观察指标。结果：实验组平均置管时间（21.28±8.96 min）短于对照组（21.28±8.96 min），一次性置管成功率显著高于对照组（93.3% vs. 80.0%），且导管移位/脱离的概率显著低于对照组(p)。在危重患者肠内营养干预中，超声引导下准确放置鼻空肠管具有手术时间短、成功率高、安全、营养支持好等优点，有望成为成功放置鼻空肠管的理想方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.