社区住院患者胃管留置时间研究

Study on the duration of the indwelled nasogastric tube in the patients hospitalized in the community health service center

目的:为减轻留置胃管患者的痛苦和经济负担,探索社区卫生服务中心留置胃管的合适时间。方法:观察对象为留置硅胶胃管的住院患者80例,按留置胃管时间分为4、5、6、7周4组,每组各20例,比较胃管堵塞、鼻咽部黏膜损伤等情况。结果:7周组患者的鼻咽部黏膜充血和胃管堵塞较4、5、6组差异有统计学意义(P<0.05),6周组与4、5周组间差异无统计学意义(P>0.05)。结论:建议社区卫生服务中心留置硅胶胃管患者的胃管更换时间为6周。

Objective： In order reduce the pain and economic burden of the patients with the indwelled nasogastric tube, the appropriate duration of the indwelled nasogastric tube in the patients hospitalized in community health service center is discussed. Methods：Eighty patients hospitalized in the center were observed and divided into four groups of 4, 5, 6, and 7 weeks with 20 cases each according to duration of the indwelled nasogastric tube. The nasogastric tube blockage, nasopharynx mucosa injury and other conditions were compared among four groups. Results：The severe nasopharynx mucosa congestion and more nasogastric tube blockage were found in the group of 7 weeks compared with those in other three groups with signiifcant difference （P〈0.05）. But no difference was found among the groups of 4,5 and 6 weeks （P〉0.05）. Conclusion：It is suggested that the replacement of the indwelled nasogastric tube is at 6 weeks for the patients in the community health center.