%0 Journal Article
%T 床旁超声引导下鼻肠管置管术在危重症患者中的应用<br>The Application of Nasointestinal Tube Placement Guided by Point-of-Care Ultrasonography in Critically Ill Patients
%A 李秀琴
%A 杨小凤
%A 刘融星
%A 蓝慧
%A 明州彦
%A 阳莉
%J Advances in Clinical Medicine
%P 1204-1209
%@ 2161-8720
%D 2025
%I Hans Publishing
%R 10.12677/acm.2025.152463
%X 目的&#65306;研究床旁超声引导下鼻肠管置管术在危重症患者中的应用价值。方法&#65306;所选时间范围为2022年6月至2024年6月入ICU治疗的急危重症鼻肠管置管术患者共计60例&#65292;按照随机数字法分作研究组(床旁超声引导下鼻肠管置管术)和对照组(普通盲插法置管)&#65292;评估两组一次性插管成功概率、28 d全因死亡概率、成功置管花费时间、ICU住院时间与总住院时间、营养指标。结果&#65306;研究组一次性插管成功概率29 (96.67%)、28 d全因死亡概率2 (6.67%)低(P &lt; 0.05)&#65307;研究组成功置管花费时间、ICU住院时间与总住院时间均低于对照组(P &lt; 0.05)&#65307;干预后&#65292;研究组营养指标优于对照组(P &lt; 0.05)。结论&#65306;床旁超声引导下鼻肠管置管术运用在急危重症患者中&#65292;可明显改善患者营养指标&#65292;缩短ICU住院时间与总住院时间&#65292;提升一次性插管成功概率&#65292;降低28 d全因死亡概率&#65292;建议推广与运用。<br>Objective: To investigate the application value of bedside ultrasound-guided nasointestinal tube placement in critically ill patients. Methods: A total of 60 critically ill patients who underwent nasointestinal tube placement in the ICU from June 2022 to June 2024 were selected and randomly divided into a study group (bedside ultrasound-guided nasointestinal tube placement) and a control group (conventional blind insertion method). The success rate of first-attempt intubation, 28-day all-cause mortality rate, time taken for successful tube placement, ICU stay duration, total hospital stay duration, and nutritional indicators were evaluated in both groups. Results: The study group had a higher success rate of first-attempt intubation (96.67%, n=29) and a lower 28-day all-cause mortality rate (6.67%, n=2) compared to the control group (P &lt; 0.05). The study group also had shorter durations for successful tube placement, ICU stay, and total hospital stay compared to the control group (P &lt; 0.05). After intervention, the nutritional indicators in the study group were superior to those in the control group (P &lt; 0.05). Conclusion: The application of bedside ultrasound-guided nasointestinal tube placement in critically ill patients can significantly improve nutritional indicators, shorten ICU stay and total hospital stay, increase the success rate of first-attempt intubation, and reduce the 28-day all-cause mortality rate. Therefore, its promotion and application are recommended.
%K 床旁超声引导&#65292
%K 鼻肠管置管术&#65292
%K 危重症&#65292
%K 营养指标<br>Bedside Bedside Ultrasound Guidance
%K Nasointestinal Tube Placement
%K Critically Ill Patients
%K Nnutritional Indicators
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=108183