改良床旁盲插置入胃管方法在Ⅱ~Ⅳ度食管狭窄患者中的临床应用

Clinical Application of Modified Bedside Blind Insertion Method for Gastric Tube in Patients withⅡ-ⅣDegree Esophageal Stenosis

目的:探讨改良床旁盲插置入胃管方法在Ⅱ~Ⅳ度食管狭窄患者中的应用效果。方法:选取2020年1月-2021年6月江西省肿瘤医院收治的食管狭窄Ⅱ~Ⅳ度需鼻饲营养的住院患者60例,按随机数字表法分为两组,各30例。对照组采取常规置入胃管方法,观察组采取改良床旁盲插置入胃管方法。比较两组置管时间、一次性置管成功率、不良反应发生率、血压、心率和患者满意度。结果:观察组置管时间短于对照组,观察组一次性置管成功率为93.33%,高于对照组的73.33%,不良反应发生率为6.67%,低于对照组的30.00%,差异均有统计学意义(P<0.05);观察组置管后即刻收缩压、舒张压、心率水平均低于对照组,观察组患者满意度评分均高于对照组,差异均有统计学意义(P<0.05)。结论:改良床旁盲插置入胃管方法能够缩短Ⅱ~Ⅳ度食管狭窄患者置管时间,提高一次性置管成功率,减少不良反应的发生,减轻应激反应,从而提升患者满意度。

Objective:To explore the application effect of the modified bedside blind insertion method for gastric tube in patients withⅡ-Ⅳdegree esophageal stenosis.Method:A total of 60 inpatients with esophageal stenosisⅡ-Ⅳwho required nasal feeding and nutrition treated in Jiangxi Tumor Hospital were selected from January 2020 to June 2021.They were divided into two groups according to the random number table method,with 30 cases in each group.The control group was treated with the routine method of gastric tube insertion,and the observation group was treated with the modified bedside blind insertion method of gastric tube.The catheterization time,success rate of one-time catheterization,incidence of adverse reaction,blood pressure,heart rate and patient satisfaction were compared between the two groups.Result:The catheterization time of the observation group was shorter than that of the control group,the one-time catheterization success rate of the observation group was 93.33%,which was higher than 73.33%of the control group,the incidence of adverse reaction was 6.67%,which was lower than 30.00%of the control group,the differences were statistically significant(P<0.05);levels of the systolic blood pressure,diastolic blood pressure and heart rate of the observation group were lower than those of the control group after intubation,the patient satisfaction scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The modified bedside blind insertion method for gastric tube can shorten the tube insertion time for patients withⅡ-Ⅳdegree esophageal stenosis,increase the success rate of one-time tube insertion,reduce the occurrence of adverse reaction and the stress response,thereby improving patient satisfaction.