昏迷患者应用造影导丝引导留置胃管的效果观察

Gastric intubation guided by angiographic guide wire in the treatment of coma patients

目的探讨昏迷患者应用造影导丝引导留置胃管的效果。方法选择本院神经内科需留置胃管的昏迷患者48例,随机将患者分为观察组和对照组,每组各24例,分别采用常规方法插管及胃管内置造影导丝引导插管。比较两组患者置管一次成功率。结果观察组患者一次置管成功率为95.8%,明显高于对照组66.7%,两组比较,P<0.05,差异具有统计学意义。结论造影导丝引导留置胃管可提高昏迷患者胃管一次置管成功率,减少患者痛苦,值得临床推广应用。

Objective To explore the effect of gastric intubation guided by angiographic guide wire on coma patients. Methods Forty-eight coma patients were randomly divided into the observation group and the control group with 24 cases in each group： conventional intubation and gastric intubation guided by angiographic guide wire were used respectively. The two groups were compared in terms of the success raie of one-time intubation. Result The one-time success rate in the observation group was signfiantly higher than that in the control group （95.8% vs. 66.6%, P 〈 0.05）. Conclusion Intubation guided by angiographic guide wire may help to improve the success rate of one-time intubation and relieve the pains.