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延长鼻胃管置入深度对重症脑卒中误吸率的影响

Effect of Prolonging the Depth of Nasogastric Tube Insertion on the Aspiration Rate of Severe Stroke
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摘要 目的评定使鼻胃管置入深度值适宜延长对减少重症脑卒中患者出现误吸现象的干预作用。方法对2018年12月—2019年8月科室收治的56例重症脑卒中患者实行项目调查,开展分组时选择随机数字表方式,不同组内纳入28例,试验组选用鼻胃管置入深度值适宜延长方法,对照组选用鼻胃管一般置入深度值,评估各组间误吸、呛咳、反流、吸入性肺炎、窒息情况、患者及患者家属满意统计率。结果试验组误吸统计率、呛咳统计率、反流统计率、吸入性肺炎统计率、窒息统计率低于对照组(P<0.05);试验组患者及患者家属满意统计率高于对照组(P<0.05)。结论适宜延长鼻胃管置入深度值有助于减少重症脑卒中患者出现误吸现象。 Objective To evaluate the effect of prolonging the insertion depth of nasogastric tube on reducing aspiration in patients with severe stroke.Methods 56 patients with severe stroke admitted to our department from December 2018 to August 2019 were investigated.When grouping,random number table was selected.28 patients were classified into different groups.The test group selected the appropriate extension method of the placement depth value of the nasogastric tube.The control group selected the general placement depth value of the nasogastric tube to evaluate the situation of aspiration,choking,reflux,aspiration pneumonia and asphyxia Condition,satisfaction rate of patients and their families.Results The statistical rate of aspiration,cough,reflux,aspiration pneumonia and asphyxia in the experimental group were lower than those in the control group(P<0.05);the satisfaction rate of patients and their families in the experimental group was higher than that in the control group(P<0.05).Conclusion Prolonging the depth of nasogastric tube is helpful to reduce the phenomenon of aspiration in patients with severe stroke.
作者 向福乐 杜翠萍 XIANG Fule;DU Cuiping(Department of Neurology,Chongqing Three Gorges Center Hospital,Chongqing 404000,China)
出处 《中国继续医学教育》 2020年第28期189-192,共4页 China Continuing Medical Education
关键词 鼻管 胃管 置入深度 延长 重症脑卒中 误吸 nasal tube gastric tube insertion depth prolongation severe stroke aspiration
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