留置胃管患儿两种不同置管方法的效果观察

Observation on the Effect of Two Catheter Implantation Methods in Children with Gastric Tube Intubation

目的探讨两种置管方法对留置胃管患儿的影响。方法按随机数字表法将需留置胃管的80例患儿随机分为实验组和对照组,每组各40例,实验组制订详细的护理干预对患儿进行护理,对照组采用传统留置胃管法。比较两组患儿的患儿舒适度以及术后胃肠功能恢复情况。结果与对照组相比,实验组患儿一次插管成功率高。插管过程不适症状明显低于对照组,差异有统计学意义(均P<0.05);术后胃肠功能恢复明显优于对照组,差异有显著统计学意义(均P<0.01)。结论采取有效的护理干预能明显降低留置胃管患儿的不良反应,增强患儿耐受力,提高置管质量,促进病情恢复。

Objective To explore the influence of two catheter implantation methods in children with gastric tube intubation. Methods 80 children suggested indwelling gastric tube in our hospital from March 2009 to March 2012 were randomly divided into the experimental group and the control group, with 40 cases in each group. Children in the experimental group received the nursing with detailed nursing intervention, while children in the control group received the traditional method of indwelling stomach tube. The children＇s comfortable degree and postoperative gastrointestinal function recovery were compared. Results Compared with the control group, the experimental group had higher success rate of one-set catheterization, lower discomfort symptom during the intubation process, and better postoperative recovery of gastrointestinal function; the differences of above indexes between two groups were statistically significant （P〈0.05 or P〈0.01）. Conclusions Effective nursing intervention can reduce the adverse reactions in children with gastric tube intubation, enhance children＇s tolerance, and promote the recovery of disease.