达克罗宁胶浆润滑在鼻胃管留置术中的应用分析

The Application and Analysis of Dyclonine Lubrication in Nasogastric Tube Indwelling

目的研究应用盐酸达克罗宁胶浆作润滑剂在鼻胃管留置术中的效果分析。方法选择经鼻胃管留置保留且神志清楚患者126例,分为达克罗宁组和对照组各63例,达克罗宁组以1%盐酸达克罗宁胶浆作润滑剂,对照组以石腊油作润滑剂常规行鼻饲管留置术。2组在置管前均给予护理干预,使其积极配合治疗。观察2组患者一次胃管置管成功率,置管中疼痛、呛咳、恶心等发生情况,置管前后心率的动态改变。结果 2组一次置管成功率、舒适度(疼痛、呛咳、恶心)情况比较差异有统计学意义(P<0.05);心率在置管前后比较对照组变化明显(P<0.05);达克罗宁组心率变化不明显(P>0.05)。结论应用达克罗宁胶浆作润滑剂留置鼻胃管,能有效减少对咽喉壁及食管的刺激,提高插管成功率,减少不良反应的发生。

Abstract：Objective To study the effect of dyclonine hydrochloride mucllage as a lubricant in the nasogastric tube in- dwelling. Methods Conscious patients reeieved nasogastric tube indwelling retention, 126 cases were divided into two groups： Dycloninc group and control group with 63 cases in each group. Dyelonine group was used 1% dyclonine hydro- chloride muellage as lubricant, the control group was used paraffin oil as lubricant. The two groups were given nursing in- tervention before the catheter was inserted, making them actively cooperate with the treatment. The following indexes were observed ： success rate of catheterization,catheter in pain,cough, nausea occurrence and the dynamic change of heart rate. Results The indexes of success rate of catheterization and comfort （ pain, cough, nausea） were statistically significant be- tween the two groups （P 〈 0.05 ） ;compared with Dyclonine group,the heart rate changes （before and after the operation） in the control group had statistical significance（ P 〈 0.05 ） ;heart rate did not change significantly in Dyelonine group with no statistical significance （ P 〉 0.05 ）. Conclusion The application of the Dyelonine mortar as a lubricant indwelling na- sogastric tube, can effectively reduce the wall of the pharynx and esophagus irritation, improve the success rate of intuba- tion and reduce the occurrence of adverse reactions.