Randomized Controlled Trial of Modified Nasobiliary Fixation and Drainage Technique

Frontiers in Surgery

article

Na Mi¹  Shuting Zhang¹  Zhili Zhu²  Yan Yu¹  Wenjing Li¹  Lu Zheng¹  Lingling Chu¹  Jing Li¹ 

[1] Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Army Medical University;Army Medical University

关键词: nasobiliary;    fixed drainage technique;    unplanned extubation;    bile drainage;    comfort;    endoscopic nasobiliary drainage;   

DOI  :  10.3389/fsurg.2022.791945

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Objectives We investigated the clinical efficacy of a modified nasobiliary fixation and drainage technique which was designed in an attempt to reduce unplanned extubation and tube blockage and improve bile drainage and the comfort of catheterized patients. Methods From January 2019 to December 2020, 230 patients receiving Endoscopic nasobiliary drainage (ENBD) during hospitalization were recruited to this study. Participants were randomly allocated to 2 groups by using the block randomization method: in the control group: the conventional method of nasobiliary fixation was adopted after surgery; in the test group: intraoperative annular cutting of nasobiliary tubes was performed and the exposed catheter length was standardized. The modified “tube-nose-ear” three-step technique was performed after surgery. The clinical efficacy of a modified nasobiliary fixation and drainage technique was evaluated and compared between the test group and the control group. Results The rate of unplanned extubation and incidence of complications were significantly lower in the test group than the control group. In addition, the rate of bilirubin decrease after drainage was higher in the test group. Patient discomfort during catheterization was also significantly reduced using the modified technique ( P < 0.05). Conclusions The modified technique of nasobiliary fixation and drainage technique can significantly reduce unplanned extubation and nasobiliary tube blockage after ENBD, facilitate biliary drainage, and improve patient comfort. This technique warrants wider application in clinical practice.

【 授权许可】

CC BY