3种胃管固定方法的效果探讨

Comparison of Three Methods for Gastric Tube Fixation

目的探讨3种胃管固定方法的临床应用效果。方法将120例留置胃管的患者按随机数字表法分为传统组、额头固定组和改良组,每组40例,分别采用传统法、额头固定法和改良固定法进行置管固定,对3组方法的脱管原因(患者自拔、咳嗽或喷嚏、患者自行翻身、胶布松脱等)、脱管发生率、胃管留置时间及留置效果(对皮肤、咽部刺激,舒适度、脱管等)进行比较。结果改良组因不同原因造成的脱管发生率明显低于传统组和额头固定组、胃管留置时间长于传统组和额头固定组、胃管留置效果优于传统组和额头固定组(均P<0.05)。结论改良固定法可有效地增加胃管的牢固性,防止胃管脱出,增加患者舒适度,有效地降低费用。

Objective To evaluate the clinical efficacy of three methods for gastric tube fixation. Methods A total of 120 patients indwelling gastric tube were randomly divided into three groups, with 40 patients in each group. Gastric tubes were fixed by using traditional fixation method, forehead fixation method and improved fixation method in traditional group, forehead group and improved group, respectively. Reasons for tube detachment （patients extubating themselves, coughing or sneezing, turning over themselves, and plaster loosing adhesion）,incidence of tube detachment, indwelling time and indwelling efficacy （stimulation of skin and throat, degree of comfort, and tube detachment）were compared among the three groups. Results Compared with improved group, the incidence of tube detachment significantly increased and indwelling time and indwelling efficacy obviously decreased in both traditional group and forehead group （all P〈0.05）. Conclusion The improved method for gastric tube fixation can enhance the firmness of the tube, prevent tube detachment, increase patient comfort and reduce patient costs.