改良难置胃管（置管与固定方法）的效果评价.docVIP

精品论文 参考文献 改良难置胃管（置管与固定方法）的效果评价 叶雪英 赖冬梅(广州新海医院 510300) 　　【摘要】目的 探讨难置胃管经改良置管方法、固定方法后置管成功率和留置胃管后固定的成功率。方法 对70例需要置入胃管和留置胃管鼻饲的患者随机分为观察组35例与对照组35例。观察组使用压舌板辅助置入胃管，用棉纱绳固定胃管，对照组使用传统的方法置入及固定胃管，对比分析两组胃管置管的成功率及留置胃管后固定成功率等，并作统计学处理。结果 对照组一次置管成功率为65.7﹪，胃管固定成功率为60﹪，观察组一次置管成功率为94.3﹪，胃管固定成功率为96﹪，统计学分析Plt;0.05,有明显的差异性。结论 压舌板辅助置入置管一次成功率优于传统的置管方法，棉纱绳固定留置胃管固定的成功率优于传统的固定方法。 　　【关键词】难置胃管 压舌板 棉纱绳 置管与固定 　　【中图分类号】R472 【文献标识码】A 【文章编号】2095-1752（2014）20-0035-02 　　【Abstract】Objective Study hard to buy the tube by the improved method, method of fixed tube catheter after the success rate and fixed rate after indwelling gastric tube. Methods 70 cases need to be put into the tube indwelling gastric tube and nasogastric patients were randomly divided into observation group of 35 cases and control group 35 cases.Auxiliary placing nasogastric tube group using a spatula, using cotton rope fixed stomach tube, the control group used the traditional methods in and fixed gastric tube, comparison and analysis of the two groups of stomach tube success rate and success rate of indwelling gastric tube after fixed, etc., and statistical processing. Results The success rate of 65.7 ﹪ control group a, success rate of gastric tube fixed to 60 ﹪, observation group a success rate of 94.3 ﹪, tube stomach tube fixed success rate is 96, statistics analysis (P lt; 0.05, there are obvious differences. Conclusion Spatula auxiliary placement a success rate of tube is superior to the traditional method of catheter, cotton rope fixed fixed the success rate of indwelling gastric tube is superior to the traditional method of fixed. 　　【Key words】Difficult to buy the tube Tongue depressors Cotton rope Catheter and fixed 　　随着城市人口的老龄化及脑卒中患者呈年轻化的趋势，脑卒中患者数量逐年增加，吞咽功能障碍是脑卒中患者较常见的合并症之一，发病率约为15﹪～65﹪，主要表现出吞咽不协调、进食困难、咳嗽、呛咳、发音不清晰等吞咽功能障碍症状，较多患者因吞咽功能障碍而不能按要求经口腔、食道摄入一定量的食物、水、药物，所以这类患者常常需要留置胃管鼻饲，基于每位患者均有不同程度的吞咽功能障碍，在置入胃管时往往不能有效地配合吞咽，置管不容易成功，且反复置管容易导致患者鼻部、咽部、食管粘膜充血、水肿和粘膜破损，甚至