气管插管及气管切开术后患者鼻胃管置管改良法

The improvement of nose stomach tube sets in patiente with a inserted in trachea and the tracheotomy technique

目的：探讨气管插管及气管切开术后患者通过抬高床头15°～30°，改变胃管置管的方向，提高一次置管的成功率。方法：160例气管插管及气管切开术后患者随机分为对照组和实验组各80例，对照组按照传统方法置管，实验组置管采用抬高床头15°～30°，当胃管插至12～16cm时旋转胃管180°后直接插入所需长度，比较两组一次置管的成功率。结果：对照组一次置管成功率53．75％，实验组一次置管成功率97．5％，两组比较，差异有显著性意义（P〈0．01）。结论：改良法操作简单方便，可提高置管成功率，减轻患者的痛苦，同时可减少粘膜损伤率和肺部感染。

Objective：To explore trachea inserted a tube and the tracheotomy technique future trouble through raising the head of a bed 15° ～30°, changing the stomach tube to set at the tube direction, enhancing time sets at the tube success ratio. Methods ：Inserting a tube and the tracheotomy technique future trouble 160 examples tracheae stochastically, divided into the comparison group and experimental group each 80 examples, the comparison group sets according to the traditional method the tube, the experimental group sets the tube to use raises the head of a bed 15°～ 30°, after the stomach tube inserts to 12 ～ 16cm revolves the stomach tube 180° direct insertion to need the length, time sets at the tube success ratio compared with two groups. Result：Comparison group time sets at the tube success ratio 53.75% ,the experimental group time sets at the tube success ratio 97.5%, two groups of comparisons, the difference has notable the significance （P 〈0.01 ）. Conclusion：Improvement law operation simple is convenient, may enhance sets at the tube success ratio, reduces patient＇s pain, simultaneously may reduce the mucous membrane damage rate and the lungs infects.