3种鼻胃管固定方法在普外科应用中的效果观察

Observation of the effect of three kinds of nasogastric tube fixation in general surgical application

目的比较3种鼻胃管固定方式在普外科中的应用效果,为临床选取鼻胃管固定方式提供参考根据。方法选取2015年1月至2017年2月于我院普外科接受治疗并留置鼻胃管超过3 d的153例患者为研究对象,根据鼻胃管固定方式的不同,将其分为A、B、C三组,每组51例患者。A组采用3 M绢丝胶布固定法固定鼻胃管,B组采用白扁带固定法固定鼻胃管,C组采用3 M透明敷料联合3 M加压固定胶布固定法固定鼻胃管。比较三组胶布更换时长及频率、鼻胃管脱落或移位发生率及患者舒适度。结果 C组的胶布更换时长显著短于A、B组(P<0.05),A组与B组比较,无明显差异(P>0.05);A组的胶布更换频率显著低于B、C组(P<0.05),B组与C组比较,无明显差异(P>0.05);A组患者鼻胃管脱落或移位发生率显著高于B、C组,且B组胃管脱落或移位发生率高于C组(P<0.05);C组患者的舒适度最高,且A组患者舒适度高于B组,差异均具有统计学意义(P<0.05)。结论 3 M透明敷料联合3 M加压固定胶布固定法的固定效果好于3 M绢丝胶布固定法和白扁带固定法,更便于更换胶布,且可以有效降低胶布的更换频率,减少护理人员的工作量,同时可以显著减少鼻胃管脱落或移位的发生率,提升患者的舒适度,是一种非常有效的鼻胃管固定方式,值得在临床中推广应用。

Objective To compare the application effect of three kinds of nasogastrie tube fixation in general surgical application, so as to provide the reference for the clinical selection of the nasogastric tube fixation method. Methods A total of 153 patients who were treated and indwelling nasogastric tube for more than 3 days in the department of general surgery of our hospital from January 2015 to February 2017 were selected as the research objects, and were divided into group A, B, C according to the different nasogastric tube fixation methods, with 51 patients in each group. The group A were treated with 3 M silk tape fixation method to fixed nasogastric tube, the group B was treated with white sling immobilization and the group C was treated with 3 M transparent dressing combined with 3 M pressurized tape fixation method. The length and frequency of tape replacement, the incidence of nasogastrie shedding or translocation and the comfort rates among the three groups were compared. Results The length of tape replacement in the group C was significantly shorter than that in the group A and the group B （P〈0.05）, there was no significant difference in tape replacement length between the group A and the group B （P〉0.05）; the tape replacement frequency in the group A was significantly less than that in the group B and the group C （P〈0.05）, there was no significant difference in tape replacement frequency between the group B and the group C （P〉0.05）; the incidence rate of nasogastric shedding or translocation in the group A was significantly higher than that in the group B and the group C, and which in the group B was higher than the group C （P〈0.05）; the comfort rate of the group C was the highest, and that of the group A was higher than the group B （P〈0.05）. Conclusion The effect of 3 M transparent dressing combined with 3 M pressurized tape fixation method was better than that of 3 M silk tape fixation method and white sling fixation method, it is easier to replace the tape, and can effectively reduce the frequency of tape replacement and the nursing workload, and reduce the incidence of nasogastric tube shedding or translocation, improve the comfort rate of patients, which is a effective method of nasogastrie tube fixation, and worthy of clinical promotion and application.