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[1]王孫建 薛蘊(yùn)菁 段 青.雙袢法技術(shù)在抑制急性胰腺炎空腸營養(yǎng)引發(fā)空腸-十二指腸 反流中的應(yīng)用[J].福建醫(yī)藥雜志,2019,41(02):7-10.
　WANG Sunjian,XUE Yunjing,DUAN Qing..Technique of double intestinal loop in restraining reflux from jejunum to duodenum,caused by intrajejunal administration of enteral diet of acute pancreatitis[J].FUJIAN MEDICAL JOURNAL,2019,41(02):7-10.
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雙袢法技術(shù)在抑制急性胰腺炎空腸營養(yǎng)引發(fā)空腸-十二指腸 反流中的應(yīng)用 ()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
41
期數(shù):
2019年02期
頁碼:
7-10
欄目:
臨床研究
出版日期:
2019-01-30

文章信息/Info

Title:
Technique of double intestinal loop in restraining reflux from jejunum to duodenum,caused by intrajejunal administration of enteral diet of acute pancreatitis
文章編號:
1002-2600(2019)02-0007-04
作者:
王孫建 薛蘊(yùn)菁 段 青
福建醫(yī)科大學(xué)附屬協(xié)和醫(yī)院放射科(福州 350001)
Author(s):
WANG Sunjian;  XUE Yunjing;  DUAN Qing.
Department of Radiology,the Affiliated Union Hospital,Fujian Medical University,Fuzhou,Fujian 350001,China
關(guān)鍵詞:
腸袢;  反流;  空腸營養(yǎng);  十二指腸;  急性胰腺炎
Keywords:
intestinal loop;  reflux;  jejunal feeding;  duodenum;  acute pancreatitis
分類號:
R657.5
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 評價(jià)雙袢法技術(shù)在抑制急性胰腺炎空腸營養(yǎng)引發(fā)空腸-十二指腸反流中的應(yīng)用 價(jià)值。方法 對182例急性胰腺炎患者行X線下經(jīng)鼻空腸置管,以營養(yǎng)管在空腸走行的不同長度分 3組(10～20 cm為A1組,20～30 cm為A2組,大于30 cm為A3組),同時(shí)以營養(yǎng)管在空腸行經(jīng)的腸袢 數(shù)分3組(0腸袢為B1組,單腸袢為B2組,雙腸袢為B3組),分別比較A分組及B分組內(nèi)各組間反流情 況,再對A分組和B分組中反流率最低的兩組進(jìn)行比較。觀察以長度及以腸袢預(yù)測空腸-十二指腸 反流的能力,總結(jié)抑制空腸-十二指腸反流的有效方法。結(jié)果 以營養(yǎng)管在空腸走行的長度觀 察,A3組反流率低于A1組及A2組(P<0.012 5); 以營養(yǎng)管在空腸走行的腸袢數(shù)觀 察,B3組反流率低于B1組及B2組(P<0.012 5); B3組反流率(6.3%)低于A3組(21.6%) (P<0.05),即雙腸袢的B3組反流率在上述6組中最低。結(jié)論 急性胰腺炎空腸置管達(dá) 雙腸袢,可有效抑制經(jīng)空腸營養(yǎng)引發(fā)的空腸-十二指腸反流。
Abstract:
Objective To evaluate the technique of double intestinal loop in restraining reflux from jejunum to duodenum,caused by intrajejunal administration of enteral diet of acute pancreatitis.Methods A total of 182 patients suffering from acute pancreatitis were placed nasal jejunum catheter guided by X-ray.The 182 patients were divided into three groups according to different length of catheter in jejunum(A1:10-20 cm,A2:20-30 cm,A3:more than 30 cm),and divided into three groups according to different quantity of intestinal loop which the catheter went though in jejunum(B1:0 intestinal loop,B2:1 intestinal loop,B3:2 intestinal loops).The reflux rates of the different groups were contrasted.Results The reflux rate of A3 was lower than that of A1 and A2(P<0.012 5); the reflux rate of B3 was lower than that of B1 and B2(P<0.012 5); the reflux rate of B3 was lower than that of B2(P<0.012 5).The reflux rate of B3 was the lowest of the former six groups.Conclusion By placing the catheter into jejunum to two intestinal loops, we can guard against and diminish the reflux from jejunum to duodenum effectively.

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相似文獻(xiàn)/References:

[1]王孫建 薛蘊(yùn)菁 段 青.急性重癥胰腺炎腸道運(yùn)動(dòng)障礙對空腸-十二指腸反流的影響[J].福建醫(yī)藥雜志,2019,41(05):19.
　WANG Sunjian,XUE Yunjing,DUAN Qing.Effect of intestinal dyskinesia in severe acute pancreatitis on jejunal-duodenal reflux[J].FUJIAN MEDICAL JOURNAL,2019,41(02):19.

更新日期/Last Update: 2019-01-30