内镜下放置鼻胃饲管给予肠内营养液在儿科重症监护中的应用

Q4 Nursing

中华临床营养杂志 Pub Date : 2018-12-30 DOI:10.3760/CMA.J.ISSN.1674-635X.2018.06.004

Min Lian, R. Wu, Yu Jin

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Catheterization condition including catheter insertion time after hospitalization, catheter maintenance time, hospital stay and retention time after discharge, postoperative complications after catheterization, prognostic indications including anal exhaust and defecation time, blood urine amylase and returning to normal time, and changes of the indicators for nutrition including total protein, albumin, prealbumin, retinol binding protein were analyzed. \n \n \nResults \nCatheter insertion time after hospitalization was (16.13±10.51) days, catheter maintenance time (21.35±9.62) days, hospitalization time after catheterization (20.10±8.96) days and hospital stay (36.23±14.20) days. 10 cases (33.3%) maintained the catheter for (11.10±4.65) days after the discharge. The anal exhaust time was (2.84±3.32) days and the defecation time (4.55±3.35) days; The urinary amylase significantly deceased three days after catheterization compared with that of one day before catheterization (P=0.047); Serum total protein, albumin, prealbumin and retinol binding protein increased three days after catheterization compared with that of one day before catheterization, but the difference was not statistically significant (P>0.05). 5 children (17%) had complications including 3 children of abdominal distension and 2 children of vomiting. \n \n \nConclusions \nNasogastric feeding tube placed by endoscopy to give enteral nutrient solution in the pediatric intensive diseases can improve the intestinal and pancreatic function, recover their nutritional status to some extent and be controlled safely. However, the waiting time for catheterization and the hospital stay after catheterization are relatively long. 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引用次数: 0

摘要

目的探讨内镜下置入鼻胃管给药治疗小儿重症患儿肠内营养液的有效性和安全性。方法回顾性分析我院2013年1月至2016年5月在内镜下通过鼻胃管给予肠内营养液的重症患儿30例，其中男12例，女18例，年龄2个月~ 14岁，平均年龄(6.86±3.44)岁。分析住院后置管时间、置管时间、出院后住院时间及留置时间等置管情况、置管术后并发症、肛管排气及排便时间、血尿淀粉酶及恢复正常时间等预后指征、总蛋白、白蛋白、前白蛋白、视黄醇结合蛋白等营养指标的变化情况。结果住院后置管时间为(16.13±10.51)天，置管维持时间为(21.35±9.62)天，置管后住院时间为(20.10±8.96)天，住院时间为(36.23±14.20)天。10例(33.3%)患者出院后(11.10±4.65)d未置管。肛门排气时间为(2.84±3.32)d，排便时间为(4.55±3.35)d;尿淀粉酶在置管后3 d较置管前1 d明显降低(P=0.047);置管后3 d血清总蛋白、白蛋白、前白蛋白、视黄醇结合蛋白较置管前1 d升高，但差异无统计学意义(P < 0.05)。并发症5例(17%)，其中腹胀3例，呕吐2例。结论内镜下置入鼻胃管给予小儿重症肠胰营养液，可改善肠胰功能，在一定程度上恢复其营养状态，并可安全控制。但导尿等待时间和导尿后住院时间较长。该技术的实施及其安全意识有待加强。关键词:内窥镜检查;鼻胃管;肠内营养;孩子们

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Application of nasogastric feeding tube placed by endoscopy to give enteral nutrient solution in the pediatric intensive diseases

Objective To investigate the efficacy and safety of nasogastric feeding tube placed by endoscopy to give enteral nutrient solution in the pediatric intensive diseases. Methods A retrospective analysis of 30 children with serious illness who were given enteral nutrient solution through the nasogastric feeding tube placed by endoscopy from January 2013 to May 2016 in our hospital was conducted including 12 boys and 18 girls aging from 2 months to 14 years with the mean as (6.86±3.44) years old. Catheterization condition including catheter insertion time after hospitalization, catheter maintenance time, hospital stay and retention time after discharge, postoperative complications after catheterization, prognostic indications including anal exhaust and defecation time, blood urine amylase and returning to normal time, and changes of the indicators for nutrition including total protein, albumin, prealbumin, retinol binding protein were analyzed. Results Catheter insertion time after hospitalization was (16.13±10.51) days, catheter maintenance time (21.35±9.62) days, hospitalization time after catheterization (20.10±8.96) days and hospital stay (36.23±14.20) days. 10 cases (33.3%) maintained the catheter for (11.10±4.65) days after the discharge. The anal exhaust time was (2.84±3.32) days and the defecation time (4.55±3.35) days; The urinary amylase significantly deceased three days after catheterization compared with that of one day before catheterization (P=0.047); Serum total protein, albumin, prealbumin and retinol binding protein increased three days after catheterization compared with that of one day before catheterization, but the difference was not statistically significant (P>0.05). 5 children (17%) had complications including 3 children of abdominal distension and 2 children of vomiting. Conclusions Nasogastric feeding tube placed by endoscopy to give enteral nutrient solution in the pediatric intensive diseases can improve the intestinal and pancreatic function, recover their nutritional status to some extent and be controlled safely. However, the waiting time for catheterization and the hospital stay after catheterization are relatively long. The implementation of this technology and the awareness of its safety need be strengthened. Key words: Endoscopy; Nasogastric feeding tube; Enteral nutrition; Children

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来源期刊

中华临床营养杂志 Nursing-Nutrition and Dietetics

CiteScore

0.20

自引率

0.00%

发文量

2282

期刊介绍： The Chinese Journal of Clinical Nutrition was founded in 1993. It is the first professional academic journal (bimonthly) in my country co-sponsored by the Chinese Medical Association and the Chinese Academy of Medical Sciences to disseminate information on clinical nutrition support, nutrient metabolism, the impact of nutrition support on outcomes and "cost-effectiveness", as well as translational medicine and nutrition research. It is also a professional journal of the Chinese Medical Association's Parenteral and Enteral Nutrition Branch. The purpose of the Chinese Journal of Clinical Nutrition is to promote the rapid dissemination of knowledge on nutrient metabolism and the rational application of parenteral and enteral nutrition, focusing on the combination of multidisciplinary and multi-regional field investigations and clinical research. It mainly reports on nutritional risk screening related to the indications of parenteral and enteral nutrition support, "cost-effectiveness" research on nutritional drugs, consensus on clinical nutrition, guidelines, expert reviews, randomized controlled studies, cohort studies, glycoprotein and other nutrient metabolism research, systematic evaluation of clinical research, evidence-based case reports, special reviews, case reports and clinical experience exchanges, etc., and has a special column on new technologies related to the field of clinical nutrition and their clinical applications.