改良胃管固定法在脑卒中患者中的应用观察

Observation of applying improved stomach tube fixation on stroke patients

目的探讨改良后的胃管固定法在留置胃管的脑卒中患者中的应用效果观察。方法将2009年1月-2011年6月本科室收治的587例留置胃管的脑卒中患者，随机分为对照组293例与实验组294例，对照组患者采用传统的胶布或胶管寸带固定法，实验组采用一次性输液管打结环绕固定法。观察两组患者的舒适清洁度、管道脱落率、成本消耗、操作时间及皮肤受损发生率。结果两组各项指标比较，均P〈0．05，差异具有统计学意义，实验组患者舒适清洁度高于对照组，管道脱落率、成本消耗、操作时间及皮肤受损发生率均低于对照组。结论新的固定方法固定更为牢固、取材方便、美观、简单易行、舒适清洁、管道脱落少、节省操作时间用成本，值得临床推广。

Objective To explore the effect of applying improved stomach tube fixation on stroke patients. Methods Randomly divided 587 stomach tube retention patients received and cured in our department from January, 2009 to June, 2011 into two groups： the control group with 293 cases and the experimental group with 294 cases. The control group were treated with traditional fixation of medical tapes or rubber tubes and straps, while the experimental group were treated with disposable transfer line knotting fixation. Observation is made on comfort, cleanness, the rate of dropping, cost, operation time, and incidence of skin damage. Results There was statistical difference between the two groups ？ indicators （P〈0.05）. The experimental group had a higher degree of comfort, lower rate of dropping, lower cost, less operation time, and lower incidence of skin damage than the control group. Conclusion The new ap- proach of fixation is more secure, more available, pleasing to the eye, simple, practicable, comfortable, clean, time-saving, has lower rate of dropping, and cost less. The new approach should be widely used.