切换至 "中华医学电子期刊资源库"

中华胃肠内镜电子杂志 ›› 2023, Vol. 10 ›› Issue (02) : 131 -135. doi: 10.3877/cma.j.issn.2095-7157.2023.02.010

综述

胃管抽吸物pH测试法用于胃管位置定位的研究进展
桑素娟, 王盈盈, 李丽楠, 刘晓冰, 雷燕妮, 程艳爽()   
  1. 100853 北京,解放军医学院研究生院;850000 拉萨,西藏自治区第三人民医院
    100853 北京,解放军总医院第一医学中心消化内科医学部
    100853 北京,解放军医学院研究生院
    100853 北京,解放军总医院第一医学中心肝胆胰外科医学部
  • 收稿日期:2022-11-25 出版日期:2023-05-15
  • 通信作者: 程艳爽
  • 基金资助:
    军队护理创新与培育专项计划(创新(2021HL072))

Research progress of gastric tube aspirate pH test method for gastric tube localization

Sujuan Sang, Yingying Wang, Linan Li, Xiaobing Liu, Yanni Lei, Yanshuang Cheng()   

  1. Chinese PLA Medical College, Beijing 100853, China; Third People′s Hospital of Tibet Autonomous Region, Lhasa 850000, China
    Department of Gastroenterology, The First Medical Center of Chinese PLA Hospital, Beijing 100853, China
    Chinese PLA Medical College, Beijing 100853, China
    Department of Hepatobiliary and Pancreatic Medicine, The First Medical Center of Chinese PLA Hospital, Beijing 100853, China
  • Received:2022-11-25 Published:2023-05-15
  • Corresponding author: Yanshuang Cheng
引用本文:

桑素娟, 王盈盈, 李丽楠, 刘晓冰, 雷燕妮, 程艳爽. 胃管抽吸物pH测试法用于胃管位置定位的研究进展[J/OL]. 中华胃肠内镜电子杂志, 2023, 10(02): 131-135.

Sujuan Sang, Yingying Wang, Linan Li, Xiaobing Liu, Yanni Lei, Yanshuang Cheng. Research progress of gastric tube aspirate pH test method for gastric tube localization[J/OL]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2023, 10(02): 131-135.

抽吸物pH测试法在单独或联合其他生物标志物用于胃管位置定位方面已取得了一定的研究进展。该方法具有准确度高、简单、无创、经济、适合床旁操作等独特优势,现已被国内外指南推荐为确认胃管位置的一线检查方法。本文将从抽吸物pH测试法的原理、应用形式、不足和展望等方面进行综述。以期为抽吸物pH测试法进一步的研究和临床应用提供参考。

Aspirate pH testing has made some research progress in the localization of gastric tube position alone or in combination with other biomarkers.At present, this method has been recommended by domestic and foreign guidelines as the clinical first-line examination method to confirm the position of the gastric tube.This article will review the principles, application forms, shortcomings and prospects of the aspirated pH test method.In order to provide a reference for further research and clinical application of the aspirated pH test method.

[1]
Lin TShen YGifford W,et al.Methods of Gastric Tube Placement Verification in Neonates,Infants,and Children:A Systematic Review and Meta-Analysis[J].Am J Gastroenterol2020115(5):653-661.
[2]
吕晓燕,申林,夏京花,等.肠内营养指南中鼻胃管位置判断方法的质量评价[J].中华护理杂志201853(9):1115-1121.
[3]
胡凯利,周雁荣,李冰冰,等.胃管留置对心脏大血管手术患者术后肺部并发症及预后的影响[J].中华护理杂志202156(12):1778 -1782.
[4]
杨曾桢,柏晓玲,楼婷,等.成人鼻胃管位置判断方法的证据总结[J]. 肠外与肠内营养201926(1):56-60.
[5]
胡延秋,程云,王银云,等.成人经鼻胃管喂养临床实践指南的构建[J].中华护理杂志201651(2):133-141.
[6]
Metheny NAKrieger MMHealey F,et al.A review of guidelines to distinguish between gastric and pulmonary placement of nasogastric tubes[J].Heart Lung201948(3):226-235.
[7]
GAIN.Guidelines for caring for an infant, child, or young person who requires enteral feeding[EB/OL]. (2015-02-01)[2022-08-11].

URL    
[8]
NHS.Resource set: initial placement checks for nasogastric and orogastric tubes[EB/OL]. (2016-07-30)[2022-08-01].

URL    
[9]
涂双燕,苗晓慧,杨蓉.留置鼻胃管位置判断方法应用及研究现状[J].华西医学201732(10):1633-1637.
[10]
Phang JSMarsh WABarlows TI,et al.Determining feeding tube location by gastric and intestinal pH values[J].Nutr Clin Pract2004, 19(6):640-644.
[11]
Metheny NWilliams PWiersema L,et al.Effectiveness of pH measurements in predicting feeding tube placement[J].Nurs Res, 198938(5):280-285.
[12]
Metheny NAMeert KL.Monitoring feeding tube placement[J].Nutr Clin Pract200419(5):487-495.
[13]
NPSA.Reducing the harm caused by misplaced nasogastric feeding tubes.[EB/OL].(2011-03-10)[2022-08-06].

URL    
[14]
Fernandez RSChau JPThompson DR,et al.Accuracy of biochemical markers for predicting nasogastric tube placement in adults-a systematic review of diagnostic studies[J].Int J Nurs Stud201047(8): 1037-1046.
[15]
Boeykens KSteeman EDuysburgh I.Reliability of pH measurement and the auscultatory method to confirm the position of a nasogastric tube[J].Int J Nurs Stud, 201451(11):1427-1433.
[16]
冯丽梅,沈梅芬,梅彬彬,等.护士胃管定位方法现状及影响因素分析[J].护理学杂志201833(1):5-8.
[17]
李晨露,程云,赵丽蓉.临床护士实践鼻饲护理循证指南的障碍和支持因素[J].护理学杂志201732(3):65-68.
[18]
Ellett ML.What is known about methods of correctly placing gastric tubes in adults and children[J].Gastroenterol Nurs200427(6):253 -259,260-261.
[19]
Metheny NAStewart BJSmith L,et al.pH and concentration of bilirubin in feeding tube aspirates as predictors of tube placement[J]. Nurs Res199948(4):189-197.
[20]
Metheny NASmith LStewart BJ.Development of a reliable and valid bedside test for bilirubin and its utility for improving prediction of feeding tube location[J].Nurs Res200049(6):302-309.
[21]
唐丽,芮萍.测量抽吸物pH值联合胆红素法定位鼻胃管位置的系统评价[J].中国老年学杂志201535(12):3420-3421.
[22]
程艳爽,王建荣,马燕兰.胃蛋白酶含量监测对诊断误吸的意义[J]. 解放军护理杂志200724(4):1-3.
[23]
Metheny NAStewart BJSmith L,et al.pH and concentrations of pepsin and trypsin in feeding tube aspirates as predictors of tube placement[J].JPEN J Parenter Enteral Nutr199721(5):279-285.
[24]
Gilbertson HRRogers EJUkoumunne OC.Determination of a practical pH cutoff level for reliable confirmation of nasogastric tube placement[J].JPEN J Parenter Enteral Nutr201135(4):540-544.
[25]
Moreau HLaugier RGargouri Y,et al.Human preduodenal lipase is entirely of gastric fundic origin[J].Gastroenterology198895(5):1221 -1226.
[26]
Ni MAdam MEAkbar F,et al.Development and validation of ester impregnated pH strips for locating nasogastric feeding tubes in the stomach-a multicentre prospective diagnostic performance study[J]. Diagn Progn Res, 20215(1):22-31.
[27]
Rowat AMGraham CDennis M.Diagnostic accuracy of a pH stick, modified to detect gastric lipase, to confirm the correct placement of nasogastric tubes[J].BMJ Open Gastroenterol20185(1):e000218.
[28]
Anderson OCarr RHarbinson M,et al.Development and validation of a lipase nasogastric tube position test[J].BMJ Open Gastroenterol, 20163(1):e000064.
[29]
AACN.AACN practice alert:Initial and Ongoing Verification of Feeding Tube Placement in Adults[EB/OL].(2017-10-01) [2022- 08- 06].

URL    
[30]
NICE.Nutrition support for adults:oral nutrition support, enteral tube feeding and parenteral nutrition[EB/OL]. (2017-08-04)[2022-08-08].

URL    
[31]
ACI.Infants and Children Insertion and Confirmation of Placement of Nasogastric and Orogastric Tubes[EB/OL].(2021-02-04) [2022-08 -07].

URL    
[32]
Glen KHannan-Jones MBanks M,et al.Ongoing pH testing to confirm nasogastric tube position before feeding to reduce the risk of adverse outcomes in adult and paediatric patients:A systematic literature review[J].Clin Nutr ESPEN202145:9-18.
[33]
Ni MZHuddy JRPriest OH,et al.Correction:Selecting pH cut-offs for the safe verification of nasogastric feeding tube placement:a decision analytical modelling approach[J].BMJ Open20188(1): e018128corrl.
[34]
Ni MZHuddy JRPriest OH,et al.Selecting pH cut-offs for the safe verification of nasogastric feeding tube placement:a decision analytical modelling approach[J].BMJ Open2017, 7(11): e018128.
[35]
唐丽,张琳,吴惠萍.测量抽吸物pH法定位鼻胃管位置的系统评价[J].中国实用护理杂志201228(31):57-59.
[36]
黄毅.谈配制食用菌培养料时的pH值控制[J].食药用菌2018, 26(1):30-34.
[37]
吴静.纸基检测芯片的制备及其比色检测方法的应用[D].华南理工大学,2020.
[38]
Metheny NAGunn EMRubbelke CS,et al.Effect of pH Test-Strip Characteristics on Accuracy of Readings[J].Crit Care Nurse2017, 37(3):50-58.
[39]
Taylor SJClemente R.Confirmation of nasogastric tube position by pH testing[J].J Hum Nutr Diet200518(5):371-375.
[40]
Metheny NReed LWiersema L,et al.Effectiveness of pH measurements in predicting feeding tube placement:an update[J]. Nurs Res199342(6):324-331.
[41]
Metheny NASchnelker RMcGinnis J,et al.Indicators of tubesite during feedings[J].J Neurosci Nurs200537(6):320-325.
[42]
杜荣辉.新生儿留置胃管长度测量现状及研究进展[J].护理实践与研究202118(19):2892-2895.
[1] 程燕妮, 樊菁, 肖瑶, 舒瑞, 明昊, 党晓智, 宋宏萍. 乳腺组织定位标记夹的应用与进展[J/OL]. 中华乳腺病杂志(电子版), 2024, 18(06): 361-365.
[2] 闫泽辉, 狄靖凯, 郭子瑊, 穆昶江, 张智博, 陈帅, 王泽华, 田最, 向川. 膝关节机械感受器在半月板损伤中的功能[J/OL]. 中华关节外科杂志(电子版), 2024, 18(04): 524-531.
[3] 刘敏, 唐恩溢, 刘喆, 葛苏蒙, 刘梅, 孙国文. 计算机导航技术在口腔颌面部微小异物取出手术中的应用[J/OL]. 中华口腔医学研究杂志(电子版), 2024, 18(06): 375-379.
[4] 施烨鑫, 马翔, 鲁明, 夏青城, 王鹏超, 宋青雨, 赵庆洪. 腹腔镜下结直肠肿瘤定位研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(04): 463-466.
[5] 寇宛婷, 蔡英华, 周海琴, 吴琼. 肺移植术后谵妄影响因素的范围综述[J/OL]. 中华移植杂志(电子版), 2024, 18(04): 251-256.
[6] 李萍, 陈慧, 庄君龙. 快速康复外科在机器人辅助腹腔镜膀胱切除回肠造口术中的应用[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(03): 249-253.
[7] 陈利, 王锦海, 董浩男, 李利军. 锁骨钩钢板在肩锁关节脱位治疗中的不足及改良[J/OL]. 中华肩肘外科电子杂志, 2024, 12(04): 377-381.
[8] 池彬, 魏梁锋, 王守森. CT扫描结合三维可视化技术在腰椎管狭窄症后路显微通道手术前定位的应用[J/OL]. 中华神经创伤外科电子杂志, 2024, 10(04): 220-225.
[9] 吴孝琦, 罗飞, 史凡凡, 方青. 移动健康在慢性肌肉骨骼疼痛患者自我管理中的应用进展[J/OL]. 中华老年骨科与康复电子杂志, 2024, 10(04): 251-256.
[10] 韦小霞, 陈管洁, 李雪珠, 李晓青, 钱淑媛. 机械通气患者抗菌药物雾化吸入的临床实施[J/OL]. 中华重症医学电子杂志, 2024, 10(04): 334-337.
[11] 王松雷, 张贻良, 孟浩, 宋威, 白林晨, 袁心, 张辉. 股骨前髁预截骨髓外定位技术在全膝关节置换术中的应用[J/OL]. 中华临床医师杂志(电子版), 2024, 18(09): 811-819.
[12] 楚海强, 杨远游, 任刚. 胰腺癌放射治疗联合其他治疗方法的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(04): 392-396.
[13] 吴秀浅, 庄学龙, 廖贤英, 吴文岳, 蔡键锋. 锚状定位钩在肺小结节术前定位中的应用研究[J/OL]. 中华介入放射学电子杂志, 2024, 12(04): 351-355.
[14] 周微薇, 罗宇, 何朝晖. 解释消化内镜在职护士培训的现实主义整合[J/OL]. 中华胃肠内镜电子杂志, 2024, 11(04): 276-281.
[15] 李晓峰, 徐栗, 朱建坤, 金锋, 张运曾. LungPro 支气管镜导航注射吲哚菁绿在多发肺小结节手术中定位的应用[J/OL]. 中华胸部外科电子杂志, 2024, 11(04): 231-235.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?