三种不同插胃管方法在清醒患者中的效果比较

Effect of three different methods of gastric tube insertion in awake patients

目的：探讨快速插管法、口服温开水插管法及缓慢插管法三种插胃管方法的一次插管成功率及患者舒适度的关系。方法将本院普外科2011年8月至2012年3月的168例插胃管病人随机分为三组，分别采用不同插胃管方法，比较三组患者插胃管一次成功率及患者反应。结果快速插管组与口服温开水组一次成功率及患者反应比较差异均无统计学意义（P〉0.05），两者与缓慢插管组一次成功率及患者反应比较差异均有统计学意义（ P〈0.05）。结论快速插管法及口服温开水法均优于缓慢插管法。而在实际操作中，快速插管法更优于口服温开水法。

Objective To explore the relationship of success rate of once insertion and patients responses among three groups. Methods A total of 168 cases needed to insert gastric tube were randomly divided into three groups. Each group took different meth-od of gastric tube insertion. . The patient responses and success rate of once insertion for the three groups were compared. Results There was no obvious difference in patients responses and success rate of once insertion between fast gastric tube insertion group and oral boiled water group （P〉0. 05） . There was a distinct difference between the slow gastric tube insertion group and these two groups （P〈0. 05） . Conclusions Fast gastric tube insertion and inserting gastric tube with oral boiled water were better than slow gastric tube insertion. While fast gastric tube insertion is the best in three methods.