不同留置胃管方法在危重症患儿应用中的效果评价

Effect evaluation of calculation method of two gastric intubation for emergency pediatric patients

目的探索对危重症儿童患者使用2种不同留置胃管方法的临床效果,筛选出更适合临床应用的儿童留置胃管方法。方法选择2013年11月-2014年8月新疆维吾尔自治区人民医院儿科重症监护室收治的需给予鼻饲治疗的患儿132例,分别采用传统法(对照组)和公式计算法(观察组)测量胃管的长度,对两组患儿留置胃管的效果进行观察。结果两组患儿舒适程度(χ2=9.16,P<0.01)、能否抽吸出胃液(χ2=23.262,P<0.01)、返流情况(χ2=8.256,P<0.01)、胃管到达的部位、胃管留置时间(t=6.903,P<0.01)比较差异具有统计学意义(P<0.01),而堵管情况差异无统计学意义(χ2=0.389,P>0.05)。结论依据患儿的身高来估算胃管长度的公式计算法,使胃管插入长度计算更精确、更安全,可明显减少并发症的发生。

Objective To explore the clinical effect among pediatric patients who were used two different types of indwelling gastric tubes（IGT）and select the most suitable pediatric IGT approach for clinical application.Methods From November 2013 to August 2014,132 cases who need nasogastric feeding treatment in the pediatric ward of our hospital were divided into groups randomly according to intake and exclusion criteria.Traditional approach and equations numeration were adopted.Results The IGT lengths were calculated by equations and observation from six aspects such as patient′s comfort level,blocking pipe,whether gastric acid absorbed or not,refluxation,the position IGT reached,as well as the indwelling time,etc.The results showed IGT approach was obviously superior to traditional one（except P value of blocking pipe was bigger than 0.05,others′P value were all below than 0.01）.Conclusion The equations numeration which estimates the length of ventricular canal by pediatric patient height could not only ensure the accuracy and safety of IGT insertion length,but also reduce the complications obviously.