两种经口留置胃管固定方法的随机对照研究

Random Controlled Study of Two Methods of Indwelling Gastric Tube Fixed Method through the Mouth

目的:探讨新生儿两种经口留置胃管固定方法的优劣,经口留置胃管2种固定方法的效果,为减少新生儿留置胃管的脱出率,延长有效置管时间。方法:选取2015年4-11月徐州市中心医院儿科监护室收治的符合入选标准的新生儿93例为研究对象,随机分为观察组(n=47)和对照组(n=46)。观察组采用3 M高黏性胶布工字形固定胃管于上唇中部,对照组胃管置于患儿口角一侧,胶布常规固定法固定胃管,比较置管3 d内局部皮肤损害、胃管移动大于1 cm例数、脱管次数。采用SPSS 20.0软件处理,选用t检验、字2检验。结果:观察组皮肤损害12.77%(6/47),明显少于对照组的32.61%(15/46),差异有统计学意义(P<0.05);观察组脱管4.26%(2/47),明显少于对照组的21.74%(10/46),差异有统计学意义(P<0.05)。结论:采用3 M高黏性胶布工字形固定胃管于上唇中部,具有留置时间长,不易脱落,减轻患儿痛苦,提高工作效率的优点。

Objective： To explore the advantage of two methods of indwelling gastric tube fixed method through the mouth for newborn and the effect of two fixed methods, and to reduce neonatal emergence rate of indwelling gastric tube, and to extend the effective time of insertion.Method： 93 cases of newborns from Apirl 2015 to November 2015 in Xuzhou City Central Hospital Uediatric Care Unit accorded with the inclusion criteria were selected, and randomly divided into observation group （n=47） and control group （n=46）.Observation group was given 3 m high viscosity adhesive i-section fixed gastric tube in the central upper lip, control group was given tape conventional method of fixed stomach tube, the local skin damage within three days, movement of stomach tube, number of detached tube of two groups were compared.SPSS 20.0 software was used, and the t test and chi-square test were selected.Result： The skin damage of observation group was 12.77% （6/47）, significantly less than 32.61%（15/46） of the control group, the difference was statistically significant（P〈O.05）.The incidence of detached tube of observation group was 4.26%（2/47）, significantly less than 21.74%（10/46） of the control group, the difference was statistically significant（P〈0.05）. Conclusion： Using 3 m high viscosity adhesive i-section fixed gastric tube in the central upper lip, with indwelling time is long, not easy to fall off, children with ease pain, improve the work efficiency.