留置口咽通气道卒中昏迷患者置胃管方法比较

The clinical application effects of improved gastric canal insertion in patients with cerebral stroke coma indwelling oropharyngeal airway

目的探讨改良的置胃管方法在脑卒中昏迷留置口咽通气道患者的临床应用效果。方法选择神经内科2015年1~12月脑卒中昏迷留置口咽通气道需留置胃管的住院患者100例,按随机数字表法分为对照组和观察组,每组50例。对照组采用常规置胃管方法,观察组采用改良的置胃管方法,比较两种操作方法对患者心率、血压、血氧饱和度的影响及一次性置胃管成功率、不良反应发生率。结果置胃管前2组患者的心率、收缩压、舒张压、血氧饱和度差异无统计学意义(P>0.05);置胃管时观察组对心率、收缩压、舒张压、血氧饱和度的影响均较对照组小,差异均有统计学意义(P<0.05)。对照组置管时与置管前比较差异有统计学意义(P<0.05),而观察组置管前后差异均无统计学意义(P>0.05)。观察组不良反应发生率为12.0%明显低于对照组的30.0%,差异有统计学意义(P<0.05)。观察组一次性置管成功48例,对照组42例;观察组一次性置管成功率为96.0%优于对照组的84.0%,差异有统计学意义(χ2=8.306,P<0.05)。结论改良的置胃管方法置胃管成功率高,对患者的生命体征影响小,较常规置管方面对患者造成不良反应明显较少。

Objective To investigate the clinical application effects of improved gastric canal insertion in patients with cerebral stroke coma indwelling oropharyngeal airway.Methods A total of 100 patients with cerebral stroke coma indwelling oropharyngeal airways who needed indwelling gastric canal and hospitalized in our hospital from January 2015 to December 2015 were enrolled in the study,who were divided into control group(n=50)and observation group(n=50)according to the random number table method.The patients in control group were treated by conventional gastric canal insertion,however,the patients in observation group were treated by improved gastric canal insertion.The patient’s heart rate,blood pressure,blood oxygen saturation and one-time success rate of gastric canal insertion,and the incidence rate of adverse reactions were observed and compared between the two groups.Results As compared with conventional gastric canal insertion in control group,the improved gastric canal insertion in observation group had less effects on patient’s heart rate,systolic blood pressure,diastolic blood pressure,and blood oxygen saturation,there were significant differences in the above indexes between the two groups,moreover,the above indexes in observation group were superior to those in control group(P<0.05).The success rate of one-time catheterization in observation group was significantly higher than that in control group,and the incidence rate of adverse reactions was significantly lower than that in control group(P<0.05).Conclusion The improved gastric canal insertion method has higher success rate and little influence on the patient’s vital signs,with fewer adverse reactions,as compared with conventional gastric canal insertion.