脑干肿瘤术后气管切开患者2种留置胃管方法的效果比较

Comparison the effects of two different nasogastric tube insertion on brainstem tumor resection patients with post-tracheotomy

目的探讨提高神经外科脑干肿瘤术后气管切开患者留置胃管的成功率及舒适度。方法将64例脑干肿瘤术后气管切开患者随机分为实验组和对照组，实验组采用改变体位缓慢置胃管法，对照组采用传统置胃管法。结果实验组一次成功率为93．7％，对照组一次成功率为46．8％，2组比较有统计学意义（P〈0．01）。置管不良反应：血压升高，实验组25％，对照组91％；血氧饱和度降低：实验组28％，对照组66％，2组比较有统计学意义（P〈0．01）。结论改变体位缓慢置胃管法较传统置胃管法一次成功率高，患者不良反应少。

Objective To explore the way of enhancing success rate of nasogastric tube insertion and comfort in the post-tracheotomy patients after brainstem tumor resection. Methods 64 patients who underwent brainstem operations and tracheotomy were randomly divided into position-changing slow insertation （PCSI group ） and conventional group. The patients in the conventional groups received conventional method , and those in the PCSI group had been inserted the tube slowly with position changing. Results The first insertation success rates were 93. 7% and 46. 8% respectively in PCSI group and conventional group with significant differences （ P 〈 0. 01 ）. Adverse reactions including increasing blood pressure and decreasing SpO2, occurred 25% and 28% respectively in PCSI group, while 91% and 66% correspondingly in conventional group with significant differences （ P 〈 0. 01 ）. Conclusions PCSI has a higher the first insertation success rate and fewer adverse reaction than conventional way.