插胃管方法的改进及临床分析.docVIP

插胃管方法的改进及临床分析 　　 [摘 要]目的 探讨一种新的胃管置入法，以提高一次性置管的成功率，减少胃管置入耗时及不良反应的发生率，改善清醒状态下置管的舒适性。方法 2006年6月至2008年10月普外科清醒状态下需置胃管患者240例，随时分为改进组和对照组各120例。改进组采用双人置入法，术前心理诱导、坐位下置管并置管术中手法辅助；对照组采用传统置入法。对两组置管的一次性成功率、置管耗时及置管过程中恶心、呕吐、呛咳等不良反应发生率进行统计学比较分析。结果 改良组置管一次性成功率为94.17%；置管耗时为10233秒；恶心呕吐的发生率为5%；呛咳发生率为6.67%；对照组置管一次性成功率为69.17%；置管耗时为16837秒；恶心呕吐发生率19.17%；呛咳发生率16.67%。两组间一次性置管成功率、置管耗时及不良反应的发生率存在显著统计学差异。结论 改良的胃管置入法提高了一次性置管的成功率，明显减少了置管耗时及不良反应发生率，改善了置管的舒适性，值得临床推广。 　　关键词：胃管留置法 恶心 呕吐 呛咳 　　Clinical Analysis of One Improved indwelling stomach intubation【Abstract】Objective Investigate a net method for indwelling stomach tube，to improve one-time achievement ratio Of intubation， decrease time consumption and reduce the suffering of the course. Methods 240 patients were resident from Jun.2006 to Dec. 2007 in our department， then sequenced divided into two groups randomly， and. 120 patients indwelling stomach tube with coupling nurses， at the sit position and rubbing the neck and back to induce swallow （Reformed group）， 120 patients indwelling stomach tube according to the routine order （（Routine group）. Then one-time achievement ratio， time consumption ，side-effect just like nause ，vomit and cough were observed and compared with statistics analysis. Results the one-time achievement radio of the reformed group was 94.17%， time-consumption was 10233 seconds， incidence of nausea and vomit was 5%， incidence of cough 6.67%. the one-time achievement ratio of the routine group was 69.17%， time-consumption was 16837 seconds， incidence of nausea and vomit was 19.17%， incidence of cough was 16.67%. statistics analysis showed that the reformed group were better than the routine group significantly Conclusions The improved indwelling stamoch tube method could increase achievement radio once a time， could reduce the time-consumption and side-effects incidence， so that could make the intubation course comfortably. 　　Key words：indwelling stomach intubation nausea vomitn cough 　　中图分类号：R473 文献标识码：B 文章编号：1004-7484（2