鼻胃管插入长度对新生儿洗胃效果的影响分析

Effects of Nasogastric Tube Insertion Length on Neonatal Gastric Lavage

目的探讨新生儿洗胃经鼻胃管置入的最适长度,提高洗胃效果。方法选择需进行洗胃的咽下综合征足月新生患儿123例,将患儿随机分为观察组(62例)和对照组(61例),观察组按新的鼻胃管插入方法(插入长度为鼻尖-耳垂-剑突)插入胃管,检查胃管在胃内后,再插入3.0～6.0cm;对照组按传统的插入方法(插入长度为鼻尖-耳垂-剑突)插入胃管,观察并记录两组患儿洗胃效果、总洗胃时间和并发症。结果两组患儿平均洗胃时间比较,差异有统计学意义(P<0.05);两组患儿洗胃效果比较,差异有统计学意义(P<0.05)。两组患儿洗胃并发症发生率间差异无统计学意义(P>0.05)。结论新生儿洗胃经鼻置入的胃管长度以按传统插入法插入后再延长3.0～6.0cm为宜。

Objective One hundred twenty-three full-term newborns with swallowing syndrome were divided into groups study （n=62） and control （n=61） to observe a new method of nasogastric tube insertion.After being seen in the stomach（ an insert length of nasal tip-ear lobes-xiphoid）,the tube was inserted in by another 3.0～6.0 cm.Control group were given traditional insertion （an insert length of nasal tip-ear lobes-xiphoid）.The effectiveness,total time of gastric lavage and complications were observed and recorded in 2 groups.Results There was significant difference in average time of gastric lavage and effectiveness between 2 groups （P0.05）,but not in incidence of complication （P0.05）Conclusion The tube insert length of neonatal nasogastric lavage is 3.0～6.0 cm longer than traditional insertion.