两种鼻胃管固定方法对鼻翼部压疮发生率的影响  

Effects of Two Types of Nasogastric Tube Fixation on Incidence of Nasal Alar Pressure Ulcers

作　　者：宋瑞梅[1] 钱火红[1] 高青[1] 刘一[1] 颜哲[1] 赵彩霞[1] 

机构地区：[1]第二军医大学长海医院普外科,上海200438

出　　处：《解放军护理杂志》2013年第5期67-69,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的观察胃切除术后留置鼻胃管患者鼻翼部压疮的发生情况,寻找更好的鼻胃管固定方法。方法方便性抽样选取第二军医大学长海医院普外科胃切除术后留置胃管行胃肠减压患者1869例,按患者住院先后时间分为:对照组826例,采用易撕敷料(3MtransporeTM white)胶带交叉粘贴于胃管再固定于鼻翼部;观察组1043例,采用黏着性棉布伸缩包带(3M multipore-light brown)"Y"型粘贴于鼻翼部再交叉粘贴于胃管上;统计两组患者留置胃管3～6d和7～20d时段中鼻翼部压疮发生率。结果对照组与观察组鼻翼部压疮总体发生率差异有统计学意义(P<0.01),但两组内留置胃管3～6d和7～20d鼻翼部压疮发生率的差异无统计学意义(P>0.05)。结论采用黏着性棉布伸缩包带"Y"型固定鼻胃管,可降低鼻胃管留置患者鼻翼部压疮的发生率,值得临床推广应用。Objective To statistically analyze the incidence of nasal ala pressure ulcers in patients with postoperative nasogastric tube fixation after gastric operation so as to find the causes for nasal ala pressure ulcers.Methods Of 1869 patients undergoing postoperative nasogastric tube fixation after gastric surgery treatment were taken as control group tapped with 3M transporeTM white adhesive tape to fix the nasogastric tube on the nasal ala.Then 1043 patients were taken as experimental group tapped with 'Y' shaped 3M multipore-light brown adhesive tape to fix the nasogastric tube on the nasal ala.The incidence of nasal ala pressure ulcers in the duration of nasogastric tube from 3 to 6 days and 7 to 20 days were calculated.Results Significant statistical difference was found on the total incidence of nasal ala pressure ulcers between the two groups(P<0.01).While no significant difference was observed on the incidence of nasal ala pressure ulcers in patients indwelled with nasogastric tube from 3 to 7 days and 8 to 20 days between the two groups(P>0.05).Conclusion 'Y'shaped 3M multipore-light brown adhesive tape can decrease the incidence of necrosis of nasal ala pressure ulcers.

关 键 词：鼻胃管 压疮 固定材料 固定方法 发生率 

分 类 号：R197.323[医药卫生—卫生事业管理]