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旋转式鼻胃管置管法在昏迷患者中的应用效果 被引量:12

The effect of rotary nasogastric tube insertion in coma patients
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摘要 目的探讨昏迷患者鼻胃管置管方法,以提高留置鼻胃管的一次成功率。方法将80例ICU昏迷患者随机分为对照组和观察组各40例。对照组采用传统方法置管,观察组采用舌钳向外牵拉舌体并旋转胃管90~180°的方法置管。比较2组患者置管后不良反应发生率、置管用时和置管一次成功率。结果观察组置管后呛咳、误入气道发生率低于对照组(χ2=16.157,P=0.000),置管用时少于对照组(t=20.145,P=0.000),置管一次成功率高于对照组(χ2=6.275,P=0.012)。结论采用舌钳向外牵拉舌体并旋转胃管90~180°的置管方法,能够提高留置鼻胃管的一次成功率,减少并发症的发生。 Objective To investigate the nasogastric tube insertion method for ICU coma patients,in order to improve the one-time success rate of it.Methods Eighty cases of ICU coma patients were randomly divided into a control group and an observation group,40 cases in each group.The control group was inserted using the traditional approach,while the observation group was inserted with rotating stomach tubes 90~180°while pulling the tongue outward with tongue forceps.The occurrence of adverse reactions,the time of insertion and the one-time success rate of cathetering between the 2groups were compared.Results The occurrence of choking cough and straying into the airway after cathetering,as well as the time of insertion in the observation group were significantly lower than the control group(χ2=16.157,P=0.000,t=20.145,P=0.000),while the one-time success rate of cathetering of the former was significantly higher than the latter(χ2=6.275,P=0.012).Conclusion The new insertion method can improve the one-time success rate of the cathetering and reduce the occurrence of complications.
出处 《中国临床护理》 2016年第1期8-10,共3页 Chinese Clinical Nursing
关键词 插管法 胃管 昏迷 Intubation nasogastric Coma
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