{"title":"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","authors":"Min Lian, R. Wu, Yu Jin","doi":"10.3760/CMA.J.ISSN.1674-635X.2018.06.004","DOIUrl":null,"url":null,"abstract":"Objective \nTo investigate the efficacy and safety of nasogastric feeding tube placed by endoscopy to give enteral nutrient solution in the pediatric intensive diseases. \n \n \nMethods \nA 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. \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. The implementation of this technology and the awareness of its safety need be strengthened. \n \n \nKey words: \nEndoscopy; Nasogastric feeding tube; Enteral nutrition; Children","PeriodicalId":9877,"journal":{"name":"中华临床营养杂志","volume":"26 1","pages":"344-348"},"PeriodicalIF":0.0000,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Application of nasogastric feeding tube placed by endoscopy to give enteral nutrient solution in the pediatric intensive diseases\",\"authors\":\"Min Lian, R. Wu, Yu Jin\",\"doi\":\"10.3760/CMA.J.ISSN.1674-635X.2018.06.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective \\nTo investigate the efficacy and safety of nasogastric feeding tube placed by endoscopy to give enteral nutrient solution in the pediatric intensive diseases. \\n \\n \\nMethods \\nA 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. \\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. The implementation of this technology and the awareness of its safety need be strengthened. \\n \\n \\nKey words: \\nEndoscopy; Nasogastric feeding tube; Enteral nutrition; Children\",\"PeriodicalId\":9877,\"journal\":{\"name\":\"中华临床营养杂志\",\"volume\":\"26 1\",\"pages\":\"344-348\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2018-12-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中华临床营养杂志\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1674-635X.2018.06.004\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Nursing\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华临床营养杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1674-635X.2018.06.004","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Nursing","Score":null,"Total":0}
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
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.
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