Clinical application of self-developed nasointestinal tube with the bedside ultrasound guiding technology in patients

Abstract

Objective To explore the clinical effect of self-made new nasointestinal tube in bedside ultrasound-guided nasointestinal tube implantation. Methods By convenience sampling, a total of 274 patients implanted by nasointestinal tube guided by bedside ultrasound from January 2018 to January 2019 in Department of Gastroenterology, the First Affiliated Hospital of Zhengzhou University were selected and divided into the observation group and control group based on the randome number table, with 137 cases in each group. The new nasointestinal tube was used in the observation group and the conventional nasointestinal tube was used in the control group. The time of catheterization, the success rate of one-time catheterization, the number of cases of body fluid exposure during catheterization, the number of cases of environmental and medical staff pollution caused by the withdrawal of the guide wire, the number of cases of medical staff or cleaning staff pollution caused by the withdrawal of the guide wire at the end of the treatment, and the difference of additional treatment cost and time-consuming were compared between the two groups. Results The catheterization time of the observation group was (24.30±2.32) min, that of the control group was (24.0±02.29) min, there was no statistically significant difference (P>0.05) ; the success rate of one-time catheterization in the observation group was 98.5% (135/137) , and that of the control group was 97.8% (134/137) , there was no statistically significant difference (P>0.05) ; the number of cases of body fluid exposure, withdrawal of the guide wire and pollution caused by the treatment of the guide wire were found in the two groups and the differences were statistically significant (P<0.05) ; the additional cost of the observation group was (30.00±0.00) yuan, the control group was (129.31±5.32) , the difference was statistically significant (P<0.05) ; the additional time of the observation group was (15.00±0.00) min, the control group was (23.45±2.04) min; the difference was statistically significant (P<0.05) . Conclusions The new nasointestinal tube used in this study can effectively reduce the incidence of occupational exposure, avoid cross infection in the hospital, reduce the waste of medical resources, and reflect the connotation of human-oriented quality nursing services, which is worthy of clinical application. Key words: Diffusion renovation; Nasointestinal tube; Bedside ultrasound guiding; Occupational exposure