意识障碍患者使用口咽通气道辅助胃管置入术效果分析

The Effect Analysis of Patients with Consciousness Disturbance with Oropharyngeal Airway Assisted Nasogastric Tube Surgery

目的:对使用一次性口咽通气道辅助下胃管置入和常规胃管置入术两种方法在意识障碍患者中使用效果进行比较。方法:选取2014年6月-2015年7月本院神经内科住院的意识障碍且需要留置胃管患者40例,随机分为试验组18例,对照组22例,比较两组胃管的一次置管成功率、胃管放置成功率、置入胃管的操作时间。结果:试验组和对照组置入胃管的操作时间分别为(3.60±1.80)min和(6.45±3.74)min,两组比较差异有统计学意义(P<0.05)。试验组一次置管成功率为100%,而对照组仅为72.7%,两组比较差异有统计学意义(P<0.05)。试验组总置管成功率为100%,对照组为90.9%,两组比较差异无统计学意义(P>0.05)。结论:在意识障碍患者留置胃管中使用一次性口咽通气道可以提高置管的一次成功率,减少置管时间,值得临床上推广。

Objective：To comparison effect of the two methods used in the patients with disturbance of consciousness used disposable oropharyngeal airway aided by stomach tube placement and normal gastric tube surgery.Method：From June 2014 to July 2015,40 patients with consciousness disturbance and needed to indwelling gastric tube in our hospital were analyzed,they were randomly divided into experimental group（n=18） and control group（n=22）.The stomach tube success rate,success rate of gastric tube,tube placement of stomach tube operation time of two groups were compared.Result：The experimental group and the control group in operation time of gastric tube,respectively were（3.60±1.80）min and（6.45±3.74） min,the difference between the two groups was statistically significant（P〈0.05）.A success rate of catheter in the experimental group was 100%,while the control group was only 72.7%, the difference between the two groups had statistical significance（P〈0.05）.Gastric tube placement success rate of the experimental group was 100%,the control group was 90.9%,the difference between the two groups had no statistical significance（P〈0.05）.Conclusion：The patients with disturbance of consciousness indwelling gastric tube in the use of disposable oropharyngeal airway can improve the a success rate of catheter,reducing the time of catheter,and is worth popularizing clinically.