老年不配合患者两种胃管置入方法比较

Comparison of Two Gastric Canal Implantation Methods for Uncompliant Elderly Patients

目的 探讨和评价老年不配合患者两种胃管置入方法的效果。方法 40例老年不配合患者分别用常规法和逆胃管弯曲弧度法置入胃管 ,其中常规法置入胃管 3 0次 ,逆胃管弯曲弧度法置入胃管 3 4次。结果 常规法置入胃管一次成功率 60 % ,反复成功率40 % ,而逆弯曲弧度法置入胃管一次成功率 97.1% ,反复成功率 2 .9%。逆弯曲弧度法置入胃管一次成功率显著高于常规法 ,且反复置入率低。结论 老年不配合患者应选择逆胃管弯曲弧度法置入胃管。且该方法具有简便易行、一次成功率高、痛苦少等优点。

Objective To evaluate the effect of two gastric canal implantation methods for uncompliant elderly patients. Methods 40 uncompliant elderly patients undertook gastric canal implantation with routine or retro bent radian methods. The routine method was performed for 30 times and the retro bent radian method for 34 times.Results The success rate of the routine procedure was 60% for the first attempt,and 40% for repeated attempts,whereas the success rate of the retro bent radian method was 97.1% for the first attempt,and 2.9% for repeated attempts.The success rate of the first attempt using retro bent radian method was significantly higher than that using the routine method,with low frequency of re implantation.Conclusion The results suggested that the retro bent radian method has more advantageous than the routine method in uncompliant elderly patients.