意识障碍患者使用口咽通气道辅助胃管置入术效果剖析.docVIP

意识障碍患者使用口咽通气道辅助胃管置入术效果剖析 　　【摘要】 目的：对使用一次性口咽通气道辅助下胃管置入和常规胃管置入术两种方法在意识障碍患者中使用效果进行比较。方法：选取2014年6月-2015年7月本院神经内科住院的意识障碍且需要留置胃管患者40例，随机分为试验组18例，对照组22例，比较两组胃管的一次置管成功率、胃管放置成功率、置入胃管的操作时间。结果：试验组和对照组置入胃管的操作时间分别为（3.60±1.80）min和（6.45±3.74）min，两组比较差异有统计学意义（P0.05）。结论：在意识障碍患者留置胃管中使用一次性口咽通气道可以提高置管的一次成功率，减少置管时间，值得临床上推广。 　　【关键词】 口咽通气道； 胃管插管术； 意识障碍； 成功率 　　The Effect Analysis of Patients with Consciousness Disturbance with Oropharyngeal Airway Assisted Nasogastric Tube Surgery/XU Jing，CHEN Ren-zhi，HUANG Yan-lin.//Medical Innovation of China，2016，13（17）：080-083 　　【Abstract】 Objective：To comparison effect of the two methods used in the patients with disturbance of consciousness used disposable oropharyngeal airway aided by stomach tube placement and normal gastric tube surgery.Method：From June 2014 to July 2015，40 patients with consciousness disturbance and needed to indwelling gastric tube in our hospital were analyzed，they were randomly divided into experimental group（n=18） and control group （n=22）.The stomach tube success rate，success rate of gastric tube，tube placement of stomach tube operation time of two groups were compared.Result：The experimental group and the control group in operation time of gastric tube，respectively were （3.60±1.80）min and （6.45±3.74） min，the difference between the two groups was statistically significant （P0.05）.Conclusion：The patients with disturbance of consciousness indwelling gastric tube in the use of disposable oropharyngeal airway can improve the a success rate of catheter，reducing the time of catheter，and is worth popularizing clinically. 　　【Key words】 Oropharyngeal airway； Stomach tube intubation technique； Disturbance of consciousness； Success rate 　　First-author’s address：The Third Affiliated Hospital of Baotou Medical College，Baotou 014030，China 　　doi：10.3969/j.issn.1674-4985.2016.17.022 　　神经内科经常遇到脑出血、大面积脑梗死或其他各种原因如中毒等所导致的意识障碍或昏迷患者，无法进行正常的饮食来摄取人体所需的营养物质，而长期胃肠外营养又可以引起电解质平衡失衡，酸碱平衡紊乱及营养不良等诸多并发症。而机体抵抗力下降可以诱发或加重感染的可能。而留置胃管后胃肠外营养可以及时补充能量及营养成分，