[Application of B-ultrasound monitoring plus gastric insufflation for nasointestinal tube indwelling in critical neurosurgical patients].
OBJECTIVE
To explore the application of B-ultrasound monitoring plus gastric insufflation for nasointestinal tube indwelling in critical neurosurgical patients.


METHODS
A total of 96 critical comatose neurosurgical patients indicated for nasointestinal tube indwelling were randomized into three groups of routine (A, n = 32), gastric insufflation (B, n = 31) and B-ultrasound monitoring plus gastric insufflation (C, n = 33). And the position of nasointestinal tube was observed within 24 h and at 72 h in three groups.


RESULTS
The general profiles of three groups showed no significant differences (P > 0.05). The proportions of nasointestinal tube passing pylorus within 24 h in three groups were 43.8%, 74.2% and 93.9% respectively. Comparing group C with groups A and B, the differences presented statistical significance. The proportions of nasointestinal tube passing pylorus at 72 h in three groups were 68.8%, 83.9% and 100% respectively. Comparing group C with groups A and B, the differences had statistical significance.


CONCLUSIONS
Refined method of nasointestinal tube indwelling and B-ultrasound monitoring may boost the rate of successful indwelling.It is worth wider promotion and application.
Department of EICU, First Municipal Hospital, Jiaxing 314000, China.
Huijie
H
Yu
Department of EICU, First Municipal Hospital, Jiaxing 314000, China.
Xiaoqin
X
Xu
Department of EICU, First Municipal Hospital, Jiaxing 314000, China.
Songao
S
Xu
Department of EICU, First Municipal Hospital, Jiaxing 314000, China.
Jun
J
Xu
Department of EICU, First Municipal Hospital, Jiaxing 314000, China.
Mingmin
M
Xu
Department of EICU, First Municipal Hospital, Jiaxing 314000, China. Email: yhjtj88@sina.com.
Weizhong
W
Cao
D006801:Humans; D007327:Insufflation; D019635:Neurosurgical Procedures; D013270:Stomach / Q000000981:diagnostic imaging* / Q000601:surgery*; D014463:Ultrasonography