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| Effect comparison of three methods for measuring the depth of gastric tube placement in neonates fed by oral |
| WEI Xiuzhen WANG Chaoyun TANG Xiaoyan HU Xilan CHEN Li′na LIU Yanni |
| Department of Pediatrics, the People′s Hospital of Guangxi Zhuang Autonomous Region, Guangxi Zhuang Autonomous Region, Nanning 530021, China |
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Abstract Objective To explore the effects of three methods for measuring the depth of gastric tube placement in neonates fed by oral. Methods From June 2017 to June 2018, 180 neonates who received oral feeding in the People′s Hospital of Guangxi Zhuang Autonomous Region were selected. They were divided into three groups according to random number table method, 60 cases in each group. After enrollment, children of the three groups were given the routine physical examination, and sex, age, weight, body length and other general information were recorded. Neonates of the three groups were placed the tube through the mouth. After successful placement, different methods were used to measure the length of stomach tube placement, the distance from median forehead to xiphoid process was measured in Group A; the distance from earlobe to nasal tip + nasal tip to xiphoid process was measured in Group B; the distance from eyebrow (nasal root) to the navel was measured in Group C. The differences between the depth of gastric tube placement and the imaging value were compared among three groups, and the one-time success rate of gastric juice withdrawal after catheterization and the incidence of related feeding complications were counted. Results There were statistically significant differences in the depth of gastric tube placement among the three groups (P < 0.05). The one-time success rate of gastric juice withdrawal of Group C was significantly higher than Group A and B, and the one-time success rate of gastric juice withdrawal of Group B was significantly higher than that of Group A, the differences were highly statistically significant (P < 0.01). The incidence of related feeding complications in Group C was significantly lower than that in Group A and Group B. The incidence of feeding complications in Group B was significantly lower than that in Group A, the differences were statistically significant (P < 0.05). Conclusion The distance between the eyebrows (nose root) and the navel is closer to the physiological and anatomical value of the newborn, and this method can increase the success rate of gastric juice withdrawal after catheterization and reduce the incidence of related feeding complications.
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