摘要
目的探讨改良置胃管法在机械通气患者中的应用效果,以提高置管成功率,减少置管并发症的发生。方法将120例需置入胃管的机械通气患者随机分为对照组和观察组各60例,对照组采用常规插管法,观察组采用改良插管法——左侧卧位经右鼻孔插管。观察两组患者1次置管成功率,第1次成功置管耗时,插管呕吐、呛咳并发症的发生情况。结果观察组1次置管成功率高于对照组,第1次成功置管耗时少于对照组,差异均有统计学意义(P<0.01);观察组置管时呕吐、呛咳发生率明显低于对照组,差异有统计学意义(P<0.01)。结论改良置胃管法在机械通气患者中的应用效果显著,能有效提高置管成功率,减少置管耗时和置管时并发症的发生。
Objective To discuss the effect of improved gastric intubation in patients with mechanical ventilation.Methods 120 patients with mechanical ventilation required gastric intubation were randomly divided into control group（n=60） and experiment group（n=60）.Routine method of gastric intubation was utilized in control group while improved gastric intubation with left-lateral position by way of right nostril was applied in experiment group.The success rates of intubation at first time,the time of successful intubation and the complication of intubation such as vomiting and coughing were observed.Results There were significant differences of success rates of intubation at first time,incidence of vomiting and coughing and time of successful intubation in two groups（P0.01）.Conclusion Improved gastric intubation can enhance the success rate of intubation of patients with mechanical ventilation.
出处
《护理学报》
2011年第15期65-66,共2页
Journal of Nursing（China）
关键词
机械通气
胃管置入
左侧卧位
右鼻孔
mechanical ventilation
gastric intubation
left-lateral position
right nostril
