侧卧位拉舌插鼻胃管法在老年意识障碍患者中的应用

Application of tongue-drawing at lateral position in nasogastric intubation for senile patients with conscious disturbance

目的探讨侧卧位拉舌插鼻胃管法在老年意识障碍患者中的应用效果。方法选择100例老年意识障碍并需留置胃管患者,采用随机数字表法将患者随机分为对照组和观察组,每组各50例。对照组患者采取传统鼻胃管置入法,观察组患者采取侧卧位拉舌鼻胃管置入法。比较两组患者一次插管成功率、不良反应发生率及插管效果。结果两组患者一次插管成功率、不良反应发生率及插管效果比较,差异具有统计学意义(均P<0.01),观察组患者一次插管成功率及插管优良率明显高于对照组,不良反应发生率明显低于对照组。结论对老年意识障碍者采用侧卧患者拉舌插鼻胃管法,可明显提高患者一次插管成功率,降低不良反应,减轻患者痛苦,值得临床推广应用。

Objective To observe the effect of tongue-drawing at lateral position in nasogastric intubation for senile patients with conscious disorders. Methods One hundred senile patients with conscious disorders were randomly divided into observation group and control group with 50 cases in each group. The patients in the control group were given routine nasogastric intubation while those in the observation group were given nasogastric intubation by tongue drawing at the lateral position. The two groups were compared in terms of success rate of intubation, the rate of adverse reactions and intubation effects. Results Compared with the control group,the observation group showed significantly higher in one-time intubation success rate, comfort rate and lower rate of adverse reaction（all P〈0.01）. Conclusions The nasogastric intubation by tongue-drawing at lateral position is superior to the routine intubation. It can improve the success rate of one-time intubation, decrease the rate of adverse reactions and relieve the pains of patients.