应用两种方法为气管切开患者留置胃管的护理分析

Nursing Analysis on Two Indwelling Gastric Tube Methods for Patients with Tracheotomy

目的探讨颅脑损伤(含脑出血)后行气管切开的患者留置胃管的两法方法及效果。方法自2011年5月至2013年4月,对76例颅脑损伤患者进行手术及气管切开治疗,根据患者的临床个体差异,改良常规置留置胃管方法,均采用了侧卧位置管法或托下颌置管法进行留置胃管,提高一次插管成功率。结果本组76例,全部获得置管成功,成功率100%。其中采用侧卧位置管法48例,托下颌置管法28例;插入胃管一次成功70例,一次性置管成功率达92.1%,二次成功4例,三次成功2例,且插管过程中患者未出现面色和生命体征、血氧饱和度等改变,取得满意效果。结论为患者提供安全、有效、优质的护理,并根据患者的临床个体差异采用侧卧位置管法或托下颌置管法进行留置胃管,有助于提高置管成功率,值得临床进一步推广应用。

Objective To explore the effect of two indwelling gastric tube methods for brain injury patients with tracheotomy. Methods From May 2011 to April 2013, 76 brain injury patients received operation and tracheotomy treatment in our hospital. Improved indwelling gastric tube methods, including lateral recumbent intubation intubation and jaw-lift intubation were used according to individual difference to increase one-time success rate of intubation. Results All of the 76 cases got intubation successfully, and the success rate was 100%. Among them, 48 cases employed lateral recumbent position and 28 cases jaw-lift position. 70 cases （92.1%） succeed by one time, 4 cases by two times, 2 cases by three times. During the intubation process, no change of complexion, vital signs, or blood oxygen saturation was found. Conclusions The application of lateral recumbent or jaw-lift position intubation according to patient＇s individual difference accompanying with effective and high quality nursin~ helos to improve intubatinn nlmee~ rnt~ nncl i rth,, ~t^ol;~1 ;^~