两种胃管置入方法临床效果比较

Comparison of the clinical effect of two gastric intubation methods

目的观察润滑止痛胶减轻插胃管不良反应的效果。方法按就诊的单双号将80例因疾病需要置入胃管的患者分为试验组和对照组各40例,试验组在安置胃管前使用润滑止痛胶,对照组使用常规的胃管安置方法。结果试验组心率(HR)变异程度百分率低于对照组,差异有统计学意义(χ2=8.352,P<0.05);平均动脉压(BP)变异程度百分率两组差异无统计学意义(P>0.05);主观不适评分试验组优于对照组(M=1.10,P<0.05);一次插管成功率试验组高于对照组,差异有统计学意义(χ2=7.38,P<0.05)。结论安置胃管前使用润滑止痛胶,可减轻插胃管时HR、BP的变异程度,减轻患者的不适反应,有效提高一次插管成功率。

Objective To observe the side effect of Tetracaine Hydrochloride Jelly on gastric intubation. Methods We divided 80 patients into the experimental group and the control group,with 40 cases in each group.In the experimental group,Tetracaine Hydrochloride Jelly was used before gastric intubation.Conventional intubation was used in the control group. Results The percentage of heart rate variability in experimental group was significantly lower than that of the control group（χ2 = 8.352,P 0.05）.The percentage of mean arterial pressure variability between the two groups was not statistically significant（P 0.05）.The subjective discomfort score in the experimental group was lower than that in the control group（M = 1.10,P 0.05）.The one-off success rate of gastric intubation in the experimental group was significantly higher than that in the control group（χ2 = 7.38,P 0.05）. Conclusions Using Tetracaine Hydrochloride Jelly before gastric intubation can reduce the variability of heart rate and mean arterial pressure variation,reduce patients＇ discomfort,and increase the one-off success rate of gastric intubation efficiently.