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目的探讨比较传统与改良鼻胆管经口鼻腔转换法的临床应用效果。方法将100例行经内镜鼻胆管引流术患者随机分为实验组和对照组各50例。实验组在鼻胆管口鼻腔转换过程中采用导丝套取胃管,对照组采用传统的卵圆钳或徒手抓取胃管,并对两种方法的操作时间、一次抓取成功率以及患者对刺激的反应程度进行比较。结果实验组一次抓取成功率高于对照组(P<0.05),平均所需时间短于对照组(P<0.001),对刺激的反应明显低于对照组(P<0.001)。结论导丝套取胃管的方法可提高胃管的一次性抓取成功率,缩短胃管抓取时间,明显减轻患者的不适,耐受性更好。
Objective To compare the clinical application of traditional and modified nasal bile duct transnasal conversion method. Methods 100 patients undergoing endoscopic nasobiliary drainage were randomly divided into experimental group and control group of 50 cases. In the experimental group, the guidewire was used to take the gastric tube during the conversion of the nasal and biliary ducts, the traditional method of oval pliers or the free hand was used to control the gastric tube, and the operation time, success rate of the first method, The degree of stimulus response was compared. Results The success rate of grasping once in the experimental group was higher than that of the control group (P <0.05), and the average time required was shorter than that of the control group (P <0.001). The response to stimulation was significantly lower than that of the control group (P <0.001). Conclusion The method of taking the tube of the guide wire can improve the success rate of the one-time tube grasping, shorten the time of gastric tube grasping, obviously relieve the discomfort of the patient, and have better tolerance.