达克罗宁应用于胃肠肿瘤患者术前留置胃管的效果观察

The clinical effect of dyclonine in gastrointestinal tumors patients with indwelling stomach tube

目的探讨达克罗宁在胃肠肿瘤手术患者术前留置胃管中的应用效果。方法将112例胃肠肿瘤手术需留置胃管患者随机分为试验组和对照组各56例。对照组采用常规胃管留置法,试验组在插胃管前应用达克罗宁胶浆含服并涂抹胃管前端,其余操作同对照组。比较2组呛咳、恶心、呕吐发生率,一次性置管成功率,置管前后血压、心率、血氧饱和度改变。结果对照组呛咳、恶心、呕吐发生率显著高于试验组,差异有统计学意义(P<0.05),一次性置管成功率(82.14%)明显低于试验组(98.21%),差异有统计学意义(P<0.05),在置管前后血压、心率、血氧饱和度对照组变化明显(P<0.05),试验组变化不明显(P>0.05)。结论应用达克罗宁胶浆留置胃管,能提高置管成功率,减轻患者痛苦,减轻不良反应发生,是一种安全、有效的胃管留置方法。

Objective To observe the clinical effect of dyclonine in gastrointestinal tumors patients with indwelling stomach tube.Methods 112 cases gastrointestinal cancer patients were randomly divided into test group and control group, each of 56 cases.The control group adopted conventional indwelling stomach tube method.The test group was gived dyclonine before intubation.Results The incidence of cough,nausea,vomiting of control group was higher than that of test group,the difference was statistically significant（P〈0.05）.The disposable catheter success rate of control group was lower than that of test group,the difference was statistically significant（P〈0.05）.The blood pressure,heart rate,oxygen saturation of control group before and after catheter has difference significant（P〈0.05）.The blood pressure,heart rate,oxygen saturation of test group before and after catheter has no difference significant（P〉0.05）.Conclusion Application of the Dyclonine mortar in-dwelling gastric tube,can increase the success rate of catheterization,to alleviate the suffering of patients,reduce the incidence of adverse reactions,is a safe,effective method of gastric tube indwelling.