脑出血昏迷病人胃管置入新体位探讨

A new gastric canal implantation position for coma patients with cerebral hemorrhage

目的探讨脑出血昏迷病人刺激小、成功率高的胃管置入新体位。方法将88例脑出血昏迷病人随机分为2组,对照组39例,观察组49例。对照组采用常规昏迷病人置入胃管体位法,观察组采用抬高床头15°～30°方法,对比2组操作时间,血压波动,血氧饱和度,脑再出血的发生率,以及家属对此项操作的满意度。结果观察组操作时间短,血氧饱和度及血压变化小,发生再出血减少,家属满意度高。结论对脑出血昏迷病人采用抬高床头15°～30°体位置入胃管法对病人刺激小,对血氧饱和度影响小,降低了再出血的危险,节约了护理操作时间,并提高了家属对此项操作的满意度,是可行并值得推广的方法。

Objective To evaluate a new gastric canal implantation position which was less stimulated and more successful for coma patients with cerebral hemorrhage. Methods 88 cases of coma patients with cerebral hemorrhage were divided into two groups： 49 cases in treatment group were implanted gastric canal in position with bedside raise for 15°-30°, while 39 cases in control group were implanted gastric canal in normal position. Then, the operation times, the oxyhemoglobin saturation and difference values of blood pressure before and after implanting gastric canal, and recurrence of cerebral hemorrhage were analyzed.Results The operation time was shorter, oxyhemoglobin saturation was higher and difference values of blood pressure before and after implanting gastric canal was smaller in treatment group than those of the control group. The recurrence of cerebral hemorrhage in the treatment group was less than the control group. The family members of patients was more satisfied to this operation. Conclusion Implantation of gastric canal in position with bedside raise for 15°-30° is better than that of normal position, and worth to applying and disseminating.