早产儿经口留置胃管固定方法的临床观察

目的探讨早产儿经口留置胃管3种固定方法的临床效果。方法将90例早产儿随机分为3组。一组为胃管置于下唇中部,采用棉线固定法;二组用粘膏两步固定法;三组胃管置于患儿口角一侧,用胶布固定胃管。结果胃管平均脱管次数,棉线固定法为0.5±0.51次,粘膏两步固定法为0.4±0.49次,胶布固定法为1.23±0.72次,3组脱管次数比较,经统计学分析,P<0.01,差异有统计学意义。结论置胃管于下唇中部,采用棉线或粘膏两步固定法固定胃管,具有不易脱落,重插次数少的优点。

Objective To explore the clinical efficiency of three fixation methods of gastric tube. Methods Ninety premature infants were randomly divided into three groups ： thread group, sticking mastic group and adhesive plaster group. For thread or sticking mastic group, the gastric tube was fixed on the middle of lower lip by the two-step fixation with thread or sticking mastic. For adhesive plaster group, the gastric tube was fixed in one angle of mouth with sticking mastic. Results The times of the detubation was 0. 5 0.51 in thread group, 0. 4 0. 49 in sticking mastic group, and 1.23 0. 72 in adhesive plaster group. There were significant difference in the three groups （ P 〈 0. 01 ）. Conclusion The methods of fixing the gastric tube on the lower lip using thread or sticking mastic has the advantage of less detubation than the method of fixing the tube in the angle of the mouth.