Application of nasorhal pylorus after the naso pylorus gastric tube reinfusion in ICU / 中国实用护理杂志

ABSTRACT

Objective To summarize the experience of naso pyloric posterior blind feeding tube and the application value and nursing strategy of gastric fluid reinfusion technique in critically ill patients. Methods A total of 100 patients with gastroduodenal retention were selected from February 2016 to April 2018 in our hospital. The gastrointestinal dysfunction was classified as class II to grade II, and the daily gastrointestinal decompression amount was more than 500 ml as the research object. All the 100 patients were treated with nasal blinded pylorus tube and were randomly divided into two groups. Based on prevention/ control infection and organ function support protection and so on, the self-made modified closed autologous gastric juice retransfusion system was used for enteroenteroenteral retransmission and enteral nutrition treatment, while the patients in the control group only carried out enteral nutrition and did not carry out gastric juice transfusion. The indexes of the patients during the treatment of gastric juice were monitored, including water electrolyte disturbance and acid-base balance disorder, the time required for the total enteral nutrition, the imbalance of intestinal flora, the average number of gastric fluid return and the feeding intolerance, etc., and the complications and the complications during the process of the gastric juice transfusion were recorded. The success rate of nutrient tube after blind pylorus pylorus was analyzed and its causes were analyzed. Results After naso pylorus pylorus, the success rate of the nutrient tube was 91%. The main reasons for failure included the patients is intolerant of nutrient tube and limited body position. There were no statistical difference in the incidence of dysbacteriosis, aspiration and primary metabolic acid-base disturbance between the experimental group and the control group (P>0.05). In the experimental group, the number of patients with serious electrolyte disturbance, feeding intolerance and the number of days required to achieve total enteral nutrition, and the average number of days required for gastric juice transfusion were 1, 6, 5, (5.74±1.42)d, respectively, were significantly less than those in the control group of 8, 15, 19,(13.94±3.53)d, with statistically significant differences (χ2=-15.239-7.294, P <0.05 or 0.01). Conclusions In the patients with ICU, it is easy to operate, easy to master, and to reduce the incidence of internal environment disorder and feeding intolerance, which is suitable for clinical popularization.