脑出血昏迷病人胃管置入方法的临床研究

Clinical study for nasogastric tube intubation method in coma patients with cerebral haemorrhage

[目的]探讨适用于脑出血昏迷病人的胃管置入方法。[方法]选择脑出血昏迷病人120例,随机分为3组,A组采用常规方法置管,B组采用侧俯卧位置管法,C组采用喉镜直视下置管法。比较3组病人的一次性置管成功率、不良反应发生率和置管时间。[结果]B组和C组的一次性置管成功率高于A组,差异有统计学意义;B组和C组的一次性置管成功率相当,差异无统计学意义。B组的不良反应发生率低于A组和C组。B组的置管时间少于A组和C组。[结论]侧俯卧位置管法的置管成功率高,能够缩短置管时间,减少不良反应的发生率,适于脑出血昏迷病人使用。

Objective:To explore the suitable techniques of nasogastric tube intubation for coma patient with cerebral haemorrhage.Methods:A total of 120 patients with cerebral hemorrhage coma were included,randomly divided into 3 groups(group A,group B,and group C),which were inserting nasogastric tube with the different technique.In group A,the tube was inserted by the conventional technique,and in group B,the nasogastric tube was inserted in lateral and prone position.Group C made use of video laryngoscope to assist nasogastric tube insertion.Compared the success rate of single intubation,adverse reaction rate and duration time of intubation in the 3 groups.Results:Group B and group C had a higher success rate of single intubation comparing with group A,the difference was statistically significant.The success rate of single intubation in group B and group C was quite similar,and the difference was not statistically significant.The incidence of adverse reaction in group B was lower than that of group A and group C.The intubation duration in group B was shorter than that of group A and group C.Conclusion:Nasogastric tube insertion in lateral and prone position was the reasonable technique for coma patient with cerebral haemorrhage due to higher success rate of single intubation,lower adverse reaction rate and less intubation time.