摘要
目的探讨对需要经口腔插管洗胃的患者,采用牙垫辅助屏气法留置胃管的效果。方法将180例患者按随机数字表分为对照1组、对照2组和观察组各60例。对照1组不用牙垫,在指导患者张口发"a"音的同时屏气,随即将胃管插入;对照2组应用口置牙垫的方法插管,不做屏气动作;观察组应用口置牙垫后指导患者张口发"a"音的同时做屏气动作,顺势将胃管插入。结果观察组插胃管1次成功率高,插管时间短、患者痛苦小、患者愿意接受,3组经比较差异有统计学意义(P<0.01)。结论对需要经口插管洗胃的患者,采用牙垫辅助屏气方法插管成功率高,插管时间短、患者痛苦小,有力配合了抢救,减轻了护理工作量。
Objective To explore the effects of dental pad assisting breath holding in patients undergoing oral-gastric intubation.Methods A total of 180 patients were randomly and equally divided into control group 1,control group 2 and observation group.The control group 1 did not employ dental pad and was guided to say "a" at the same time of breath holding,and thereupon received gastric tube intubation;the control group 2 received dental pad but did not hold their breath;the observation group was guided to say "a" and held their breath with the assistance of dental pad,then underwent oral-gastric intubation.Results Single intubation in observation group had a higher success rate,shorter intubation duration,less pain and higher patient willingness to receive.The results of the three groups were statistically significant(P0.01).Conclusion For patients in need of gastric lavage,oral-gastric intubation with dental assisting breath holding is high in success rate,short in intubation duration and less in pain,which will strongly cooperate with the salvage and lower the nursing burden.
出处
《护理学报》
2010年第4期67-69,共3页
Journal of Nursing(China)
关键词
留置胃管
牙垫
屏气
护理操作
indwelling gastric tube
dental pad
breath holding
nursing opetation