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Volume 40 Issue 6
Jun.  2024
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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2024  >  40(6): 557-563
Zhang LL,Zhang W,Wang CC,et al.Application effects of indwelling nasoenteric tubes under bedside electromagnetic navigation in patients with extremely severe burns[J].Chin J Burns Wounds,2024,40(6):557-563.DOI: 10.3760/cma.j.cn501225-20231010-00108.
Citation: Zhang LL,Zhang W,Wang CC,et al.Application effects of indwelling nasoenteric tubes under bedside electromagnetic navigation in patients with extremely severe burns[J].Chin J Burns Wounds,2024,40(6):557-563.DOI: 10.3760/cma.j.cn501225-20231010-00108.
shu

Application effects of indwelling nasoenteric tubes under bedside electromagnetic navigation in patients with extremely severe burns

doi: 10.3760/cma.j.cn501225-20231010-00108

  • Department of Burn and Wound Repair, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China

Funds:

General Program of Shandong Traditional Chinese Medicine Science and Technology Project M-2023037

Shandong Provincial Natural Science Foundation Cultivation Fund ZR2019PH035

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    Abstract
  •   Objective  To investigate the application effects of indwelling nasoenteric tubes under bedside electromagnetic navigation in patients with extremely severe burns.  Methods  This study was a retrospective cohort study. The 27 patients with extremely severe burns who were admitted to Shandong Provincial Hospital Affiliated to Shandong First Medical University (hereinafter referred to as the hospital) from April 2017 to December 2021 and inserted nasoenteric tubes by blind insertion within 24 h of admission were included in blind insertion group, including 17 males and 10 females, aged (52±16) years. The 33 patients with extremely severe burns who were admitted to the hospital from January 2022 to October 2023 with indwelling nasoenteric tubes under bedside electromagnetic navigation within 24 h of admission were included in electromagnetic navigation group, including 24 males and 9 females, aged (50±15) years. The one-time success rate of indwelling nasoenteric tube and the time of indwelling nasoenteric tube were recorded. Within 0.5 h after indwelling nasoenteric tube, the satisfaction of patients with indwelling nasoenteric tube was assessed using 5-grade Likert scale, and the satisfaction rate was calculated. Numerical rating scale was used to assess the degree of low back pain in the operators of indwelling nasoenteric tube (hereinafter referred to as operators) before and immediately after indwelling nasoenteric tubes, and the incidence rate of low back pain in operators immediately after indwelling nasoenteric tubes was calculated.  Results  The one-time success rate of indwelling nasoenteric tube of patients in electromagnetic navigation group was 96.97% (32/33), which was significantly higher than 74.07% (20/27) in blind insertion group (P<0.05). The time of indwelling nasoenteric tube of patients in electromagnetic navigation group was 10 (8, 13) min, which was significantly shorter than 30 (22, 40) min in blind insertion group (Z=-6.17, P<0.05). Within 0.5 h after indwelling nasoenteric tube, the satisfaction rate of patients with indwelling nasoenteric tube in electromagnetic navigation group was 96.97% (32/33), which was significantly higher than 70.37% (19/27) in blind insertion group (P<0.05). Before indwelling the nasoenteric tubes, the low back pain scores of operators of patients in the 2 groups were both 0. Immediately after indwelling nasoenteric tubes, the incidence rate of low back pain in operators of patients in electromagnetic navigation group was 45.45% (15/33), which was significantly lower than 85.19% (23/27) in blind insertion group (P<0.05).  Conclusions  Indwelling nasoenteric tube under bedside electromagnetic navigation has high success rate, short time, and high satisfaction with indwelling nasoenteric tube in patients. Meanwhile, it can greatly reduce the incidence of the operators' occupational low back pain, and it is beneficial to start enteral nutrition as early as possible for patients with extremely severe burns.

     

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    • References(36)
  • [1]
    MoreiraE,BurghiG,ManzanaresW.Update on metabolism and nutrition therapy in critically ill burn patients[J].Med Intensiva (Engl Ed),2018,42(5):306-316.DOI: 10.1016/j.medin.2017.07.007.
    [2]
    彭曦.烧伤临床营养新视角[J].中华烧伤杂志,2019,35(5):321-325.DOI: 10.3760/cma.j.issn.1009-2587.2019.05.001.
    [3]
    吴宇文,刘军,金钧,等.严重烧伤患者早期肠内营养的治疗效果[J].中华烧伤杂志,2018,34(1):40-46.DOI: 10.3760/cma.j.issn.1009-2587.2018.01.008.
    [4]
    韩春茂,张莉萍,吴攀.从理论到实践浅论严重烧伤患者的精准营养支持[J].中华烧伤与创面修复杂志,2022,38(8):701-706.DOI: 10.3760/cma.j.cn501225-20220517-00189.
    [5]
    刘承宇,陈丽如,朱明炜.重症患者早期肠内营养的研究进展[J].中华临床营养杂志,2022,30(3):161-166.DOI: 10.3760/cma.j.cn115822-20220309-00046.
    [6]
    刘志丹,高健,杨芳杰,等.危重症患者应用早期幽门后喂养对肠内营养不耐受症状的影响及临床效果[J].中国煤炭工业医学杂志,2022,25(1):104-107.DOI: 10.11723/mtgyyx1007-9564202201023.
    [7]
    YangYJ,SuS,ZhangY,et al.Effects of enteral nutrition with different energy supplies on metabolic changes and organ damage in burned rats[J/OL].Burns Trauma,2022,10:tkac042[2023-10-10]. https://pubmed.ncbi.nlm.nih.gov/36420355/.DOI: 10.1093/burnst/tkac042.
    [8]
    李荔,李莎,郎彬彬,等.听诊辅助床旁盲插鼻肠管技术在高龄患者中的应用研究[J].中国实用护理杂志,2022,38(23):1768-1774.DOI: 10.3760/cma.j.cn211501-20211012-02821.
    [9]
    辜惠兰,赵莉莉.注气法盲插鼻肠管在ICU重症患者中的临床应用[J].中国卫生标准管理,2021,12(20):28-31.DOI: 10.3969/j.issn.1674-9316.2021.20.010.
    [10]
    黄其密,吕金莎,刘唯佳,等.床旁跨幽门螺旋型鼻肠管盲插方法的改良及应用效果评价[J].中华现代护理杂志,2018,24(33):4054-4057.DOI: 10.3760/cma.j.issn.1674-2907.2018.33.018.
    [11]
    王佩双,钟少东,张湛,等.床旁盲插置入复尔凯鼻肠管与CORPAK鼻肠管在肿瘤危重症患者中的应用分析[J].重庆医学,2019,48(14):2490-2493.DOI: 10.3969/j.issn.1671-8348.2019.14.037.
    [12]
    胡鹏宇,贾国庆,王志浩,等.电磁导航在骨科诊疗中的应用[J].中国基层医药,2020,27(2):249-252.DOI: 10.3760/cma.j.issn.1008-6706.2020.02.030.
    [13]
    兰杰,魏风,杨松,等.电磁导航引导神经内镜经单鼻孔蝶窦入路行垂体瘤切除术的疗效观察[J].微创医学,2020,15(5):567-570.DOI: 10.11864/j.issn.1673.2020.05.03.
    [14]
    上海市抗癌协会实体肿瘤聚焦诊疗专委会电磁导航技术专家组.CT电磁导航系统引导下经皮穿刺诊断周围型肺癌的操作规范专家共识(2021版)[J].介入放射学杂志,2022,31(3):221-225.DOI: 10.3969/j.issn.1008-794X.2022.03.001.
    [15]
    张萱,向明芳,周华丽,等.电磁导航定位法在危重患者留置鼻空肠营养管中的应用[J].中华护理杂志,2015,50(7):824-827.DOI: 10.3761/j.issn.0254-1769.2015.07.012.
    [16]
    高学金,章黎,田锋,等.床边电磁导航下放置鼻肠管在胃肠外科重症病人中的应用[J].肠外与肠内营养,2018,25(5):277-280.DOI: 10.16151/j.1007-810x.2018.05.006.
    [17]
    RaoMM,KallamR,FlindallI,et al.Use of Cortrak--an electromagnetic sensing device in placement of enteral feeding tubes[J].Proc Nutr Soc,2008,67(OCE):E109.DOI: 10.1017/S0029665108007416.
    [18]
    肖金敏,陈珍珍,阮敏.颈椎骨折高位截瘫患者电磁导航留置鼻肠管行早期肠内营养支持的护理[J].护理学杂志,2018,33(17):41-43.DOI: 10.3870/j.issn.1001-4152.2018.17.041.
    [19]
    沈如婷,李培,王新颖,等.电磁定位导航法在危重病人留置鼻肠管中的应用[J].护理研究,2017,31(1):110-112.DOI: 10.3969/j.issn.1009-6493.2017.01.032.
    [20]
    马骁,石海燕,王湘,等.电磁导航床旁鼻肠管置管技术在老年卧床患者中的应用[J].中华护理杂志,2024,59(1):70-76.DOI: 10.3761/j.issn.0254-1769.2024.01.010.
    [21]
    SteinA,AtlanM,HervochonR,et al.Reconstruction by thoracodorsal perforator flap after petrosectomy[J].Ann Chir Plast Esthet,2021,66(1):100-105.DOI: 10.1016/j.anplas.2020.04.003.
    [22]
    PuntilloKA,StannardD,MiaskowskiC,et al.Use of a pain assessment and intervention notation (P.A.I.N.) tool in critical care nursing practice: nurses' evaluations[J].Heart Lung,2002,31(4):303-314.DOI: 10.1067/mhl.2002.125652.
    [23]
    罗月,黎宁.严重烧伤患者早期肠内营养治疗的研究进展[J].中华烧伤杂志,2021,37(9):880-884.DOI: 10.3760/cma.j.cn501120-20210621-00223.
    [24]
    中华医学会肠外肠内营养学分会.中国成人患者肠外肠内营养临床应用指南(2023版)[J].中华医学杂志,2023,103(13):946-974.DOI: 10.3760/cma.j.cn112137-20221116-02407.
    [25]
    江利冰,张松,高培阳,等.欧洲临床营养与代谢学会ICU临床营养指南(ESPEN)[J].中华急诊医学杂志,2018,27(11):1195-1197.DOI: 10.3760/cma.j.issn.1671-0282.2018.11.003.
    [26]
    韩春茂,周业平,孙永华,等.成人烧伤营养支持指南[J].中华烧伤杂志,2009,25(3):238-240. DOI: 10.3760/cma.j.issn.1009-2587.2009.03.030.
    [27]
    潘艳艳,徐思达,范友芬,等.特重度烧伤患者早期肠内营养不耐受的危险因素分析[J].中华烧伤杂志,2021,37(9):831-838.DOI: 10.3760/cma.j.cn501120-20210511-00180.
    [28]
    余娅娟,胡培亚,祝晨,等.鼻肠管延期使用的安全性分析[J].中国医师杂志,2021,23(7):978-981. DOI: 10.3760/cma.j.cn431274-20210628-00699.
    [29]
    刘芳,龚立超,魏京旭,等.成人重症患者经鼻肠管喂养的护理实践总结[J].中华现代护理杂志,2021,27(15):1973-1979.DOI: 10.3760/cma.j.cn115682-20201020-05831.
    [30]
    HolzingerU, BrunnerR, MiehslerW, et al.Jejunal tube placement in critically ill patients: a prospective, randomized trial comparing the endoscopic technique with the electromagnetically visualized method[J].Crit Care Medicine,2011,39(1):73-77.DOI: 10.1097/CCM.0b013e3181fb7b5f.
    [31]
    何瑛,唐丽梅,赫晓慈,等.三级医院职业性腰背痛护士真实感受的质性研究[J].中华现代护理杂志,2019,25(20):2525-2529.DOI: 10.3760/cma.j.issn.1674-2907.2019.20.004.
    [32]
    粟亚男,田凌云,李莞,等.护士腰背痛现状及干预研究进展[J].中国护理管理,2021,21(5):770-774.DOI: 10.3969/j.issn.1672-1756.2021.05.027.
    [33]
    孙卫格,张海娇,唐丽梅,等.国内护士腰背痛影响因素的系统综述和Meta分析[J].中华现代护理杂志,2019,25(34):4412-4417.DOI: 10.3760/cma.j.issn.1674-2907.2019.34.002.
    [34]
    郭淑萍,郑栋莲,王艳,等.护士职业性腰背痛自我管理积极度现状及影响因素分析[J].护理学杂志,2022,37(23):63-66.DOI: 10.3870/j.issn.1001-4152.2022.23.063.
    [35]
    王硕,张晓雪,王欣然.鼻肠管尖端定位方法的研究进展[J].中华护理杂志,2022,57 (11):1401-1405.DOI: 10.3761/j.issn.0254-1769.2022.11.019.
    [36]
    MilsomSA, SweetingJA, SheahanH, et al. Nasoenteric tube placement: a review of methods to confirm tip location, global applicability and requirements[J].World J Surg,2015,39(9):2243-2252. DOI: 10.1007/s00268-015-3077-6.
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