脑出血术后留置胃管患者的误吸风险及其预防策略

Aspiration risk and prevention strategies in patients with indwelling gastric tube after cerebral hemorrhage surgery

目的:探究脑出血术后留置胃管患者的误吸风险及其预防策略。方法:回顾性分析2022年2月-2023年7月收治的86例脑出血术后留置胃管患者的临床资料,统计患者误吸发生率,并进行单因素及多元线性回归分析。结果:86例患者中误吸发生率为39.53%,年龄>75岁、APACHEⅡ评分>18分、进行机械通气以及胃残余量>200ml为患者误吸发生的独立危险因素(P<0.05),鼻饲管置入长度≥85.00cm为误吸发生的独立保护因素(P<0.05)。结论:行脑出血术后留置胃管患者容易发生误吸,医护人员需加强针对性的干预,降低误吸发生风险。

Objective:To explore theaspiration risk and prevention strategies in patients with indwelling gastric tube after cerebral hemorrhage surgery.Methods:The clinical data of 86 patients with indwelling gastric tube after cerebral hemorrhage surgery from February 2022 to July 2023 were retrospectively analyzed.The incidence rate of aspiration in all patients was counted,and univariate analysis and multivariate linear regression analysis were performed.Results:The incidence rate of aspiration in 86 patients was 39.53%.Age>75 years old,APACHEⅡscore>18 points,mechanical ventilation and gastric residual volume>200 mlwere independent risk factors for aspiration in patients(P<0.05),and the placement length of nasogastric feeding tube≥85.00 cm was an independent protective factor for aspiration(P<0.05).Conclusion:Patients with indwelling gastric tube after cerebral hemorrhage surgery are prone to aspiration.Medical staff should strengthen targeted interventionto reduce the risk of aspiration.