应用胃镜润滑胶浆对三腔二囊管置管效果影响.docVIP

应用胃镜润滑胶浆对三腔二囊管置管效果影响【摘要】 目的 探讨三腔二囊管更好的置管方法，提高三腔二囊管的应用水平。方法 将60 例食管胃底静脉曲张破裂出血患者随机分为两组，实验组30例，口服胃镜润滑胶浆后置三腔二囊管压迫止血，常规组30例，给予常规置三腔二囊管压迫止血。对比观察两组患者置管反应程度及一次置管成功率。结果 实验组置管反应程度显著轻于常规组（P＜0.01）。实验组的一次置管成功率为100%，显著高于常规组的76.6%（P＜0.05）。结论 应用胃镜润滑胶浆能减轻胃管刺激反应程度，提高三腔二囊管一次插管成功率，可在临床中推广应用。 【关键词】 胃镜润滑胶浆；三腔二囊管；食管胃底静脉曲张破裂出血 文章编号：1003-1383(2012)04-0461-02 中图分类号：R 472.9 文献标识码：A doi:10.3969/j.issn.1003-1383.2012.04.003 Influence of gastroscope lubrication mucilage on the effect of placing Sengstaken-Blakemore tube QIN Min，XU Huiquan，LI Youzhu （The 1st Ward,Department of Gastroenterology,Liuzhou Peoples Hospital, Liuzhou 545006,Guangxi） 【Abstract】 Objective To investigate a better method of placing Sengstaken-Blakemore tube so as to improve the application of Sengstaken-Blakemore tube. Methods 60 cases with gastroesophageal gastric variceal hemorrhage were randomly divided into the experimental group and the conventional group with 30 cases in each group. The experimental group were stanched by placing Sengstaken-Blakemore tube after taking gastroscope lubrication mucilage and the conventional group were only treated by Sengstaken-Blakemore tube.The reaction of patients and the success rate of placing tubes were observed and compared. Results The reaction of patients in the experimental group was significantly lighter than that of the conventional group(P＜0.01).The success rate of placing tube in the experimental group was 100%,significantly higher than that of the conventional group,76.6%(P＜0.05). Conclusion The application of gastroscopy lubrication mucilage can alleviate the stimulating reaction of patients and raise the success rate of placing Sengstaken-Blakemore tube once in clinical practice. It is worth clinical application. 【Key words】 gastroscope lubrication mucilage;Sengstaken-Blakemore tube; gastroesophageal astric variceal hemorrhage 食管胃底静脉曲张破裂出血起病急、出血量大、病势凶险、预后极差，是肝门脉高压症的严重并发症，也是肝硬化患者的主要死因［1］。通常该类出血在使用止血药物的同时，必须及时采取有效的物理止血方法如三腔二囊管压迫止血［2］。但置管的刺激导致置管困难、