不同插管入路的洗胃管插入长度的研究  

Study of the insertion length of gastric catheter in gastric lavage through different pathway.

作　　者：牟灵英[1] 董秀红[1] 贾丽燕[1] 王美英[1] 刘霞[1] 

机构地区：[1]山东省潍坊医学院附属医院,山东潍坊261031

出　　处：《护士进修杂志》2006年第9期779-782,共4页Journal of Nurses Training

基　　金：潍坊市科技局鉴定课题[鉴字(2005)第010号]

摘　　要：目的 研究插管入路不同时洗胃胃管插入的长度.方法 对197例口服药物中毒患者采用经口插管洗胃,随机分为A、B、C三组,分别给予不同的插管长度,在洗胃过程中对其洗胃情况进行观察,通过统计学分析得出最理想的插管长度;对98例需做胃镜检查的患者,将体表实测长度与胃镜测量“门齿-贲门”的长度进行对比性分析,进而得出两者的差值.结果 A组71例经口腔插管长度是体表实测长度时,洗胃效果好,对胃黏膜的损伤小,胃内残留液少.即洗胃管在胃内的合适位置是贲门下10～15 cm时,洗胃效果最好.“鼻尖-耳垂-剑突”的实测长度与胃镜测量“门齿-贲门”的长度相比,其数值平均长出9.49～14.99 cm.结论 洗胃胃管经口腔插管理想的插入长度是：“鼻尖-耳垂-剑突”的实测长度;经鼻腔插管洗胃时,在实测长度的基础上再延长10 ～15 cm.Objective To study the insertion length of gastric catheter in gastric lavage through different pathway. Methods Urgent gastric lavage was required for 197 patients with oral drug intoxication. The patients were randomly divided into three groups, and different insertion lengths were given in different groups. The conditions during the process and the complictions after the process of lavage were observed and recorded. Gastroscope was performde in 98 patients, by which the dent-cardiac distance was measured. The distance measured by Gastroscope was compared with the distance by the signs of body surface. Results In group A,the process of gastric lavage was rapid with less gastric remnant,less bleeding fluid and slight injury in gastric mucosa. The proper site of gastric catheter is 10 cm-15 cm distal to the cardia,which means that the porous part of gastric catheter is inserted into the middle or upper part of the stomach,the insertion length of gastric catheter was 9, 49-14, 99 longer than the distance measured by Gastroscope. Conclusious The ideal length of gastric catheter inserted orally is the distance measured from apex nasi-ear lobe-xiphoid process,but additional 10-15 cm longer was required if the gastric catheter is inserted through nasal cavity.

关 键 词：药物中毒 洗胃 插管入路 洗胃管 

分 类 号：R472.91[医药卫生—护理学]