可视性圆角鼻贴联合半球形网状兜在胃肠减压中的应用研究

Application research of visual round nose patch combined with hemispherical mesh pocket in gastrointestinal decompression

目的 研究可视性圆角鼻贴联合半球形网状兜固定胃肠减压效果,并探究其临床价值。方法 选取杭州市临平区第一人民医院2020年1月至12月留置胃肠减压患者128例,按随机数字表法将其分为对照组和研究组,每组64例。对照组使用常规直角“人”形鼻贴联合别针固定胃肠减压,研究组采用“可视性圆角”鼻贴联合半球形网状兜固定。比较两组鼻贴更换频率、胃肠减压器脱落率、非计划性拔管率、鼻部皮肤不良反应发生率和不同处理时间睡眠情况(置管后第1、3、5天)、舒适度评分等差异。结果 研究组鼻脸贴更换频率、胃肠减压器脱落率、非计划性拔管率及鼻部皮肤不良反应发生率低于对照组,差异有统计学意义(P<0.05)。两组睡眠情况组间、时间比较,差异有统计学意义(P<0.05)。研究组心理、生理、社会、环境及整体评分高于对照组,差异有统计学意义(P<0.05)。结论 本研究设计的胃肠减压固定方法可有效降低非计划性拔管率,提高医疗效果及患者舒适度,值得临床应用推广。

Objective To investigate the effect of visible round nose patch combined with hemispherical mesh pocket on gastrointestinal decompression and its clinical value.Methods A total of 128 patients with indentured gastrointestinal decompression from January to December 2020 from the First People’s Hospital of Linping District were selected and divided into control group and study group according to random number table method,64 cases in each group.The control group was fixed with conventional right-angle“human”nose patch combined with pins for gastrointestinal decompression,while the study group was fixed with“visible round corner”nose patch combined with hemispherical mesh pocket.The frequency of nasal patch replacement,rate of gastrointestinal decompression device removal,rate of unplanned extubation,incidence of nasal skin adverse reactions,sleep conditions at different treatment times(at the first,third,and fifth day after catheterization),and comfort scores were compared between the two groups.Results The frequency of nasal and facial patch replacement,the rate of gastrointestinal decompression device shedding,the rate of unplanned extubation and the incidence of nasal skin adverse reactions in the study group were lower than those in the control group,with statistical significances(P<0.05).There were significant differences in sleep status between the two groups and each time points(P<0.05).The psychological,physiological,social,environmental,and overall scores of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The designed gastrointestinal decompression fixation method can effectively reduce the rate of unplanned extubation,improve the medical effect and patient comfort,and is worthy of clinical application and promotion.