神经外科吞咽障碍患者鼻胃管置管改良

Effect of modified nasogastric tube placement on dysphagia patients admitted to department of neurosurgery

目的探讨改良鼻胃管置管方法在神经外科吞咽障碍患者中的应用效果。方法将神经外科吞咽障碍患者70例随机分为常规组36例和改良组34例,分别采用常规法和改良法进行鼻胃管置管,比较两组一次置管成功率、患者恶心呕吐发生率和置管前后心率、血压变化。结果两组一次置管成功率、患者恶心呕吐发生率及置管后心率、血压比较,差异有统计学意义(均P<0.05)。结论改良鼻胃管置管方法能有效提高患者鼻胃管置入成功率,降低置管不良反应发生率,减轻患者痛苦。

Objective To explore the effect of modified nasogastric tube placement on dysphagia patients admitted to department of neurosurgery.Methods A total of 70 dysphagia patients admitted to department of neurosurgery were randomly divided into two groups,either receiving conventional nasogastric tube placement（the control group,n=36）or modified placement（the intervention group,n=34）.The rate of successful tube placement at the first attempt,incidence rate of nausea and vomiting,and changes in heart rates and blood pressure before and after tube placement,were compared between the two groups.Results There were significant differences in the rate of successful tube placement at the first attempt,incidence rate of nausea and vomiting,and heart rates and blood pressure pre-and post-tube placement,between the two groups（P〈0.05 for all）.Conclusion Modified method could improve successful rate of nasogastric tube placement,reduce the incidence rates of adverse reactions,and lessen patient suffering.