重度有机磷农药中毒患者气管插管后经口洗胃管置入法的改进  

Improvement of insertion of gastric lavage canal after tracheal intubation in patients with severe organophosphorus pesticide intoxication

作　　者：郭剑虹[1] 许实燕[1] 陈雪华[1] 吴妙桓[1] 邱秀珊[1] 

机构地区：[1]广东省潮州市中心医院,521000

出　　处：《中国实用护理杂志（中旬版）》2008年第8期21-22,共2页Chinese Journal of Practical Nursing

摘　　要：目的 探讨改进的经口洗胃管置入方法对提高气管插管患者插胃管成功率的效果。方法 将70例有机磷农药中毒行气管插管后实施洗胃的患者随机分为实验组和对照组各35例。实验组采取改变常规的“去枕头后仰位”为“抬高床头70～80°头正位”，从牙垫孔经口插入洗胃管；对照组采取常规的“去枕头后仰卧位”的体位方法经口插入洗胃管，比较2组的插管成功率。结果 实验组胃管一次置入成功率为94．2％，显著高于对照组的37．1％，差异有统计学意义，P〈0．01。不良反应的发生隋况实验组亦显著优于对照组，差异有统计学意义。结论 气管插管后患者改变常规的“去枕头后仰位”为“抬高床头70～80°，头正位”从牙垫孔经口置入洗胃管法明显优于常规法，值得推广。Objective To improve the success rate of insertion of gastric lavage canal in patients with tracheal intubation. Methods 70 patients with organophosphorus pesticide intoxication who needed gastric lavage after tracheal intubation were randomized into the test group and the control group, 35 cases in each. In test group, lavage canal was inserted through bite block orally and the bedside was raised till 70 to 80 in angle. While in the control group, lavage canal was inserted directly through mouth with the position of hypsokinesis. The success rate of intubation was compared between the two groups. Results One-time success rate was 94.2% in the test group,which was statistically different from that of the control group （37.1%）, P 〈 0.01. The complication of intubation in the test group was also lower than that of the control group,which had statistical difference. Conclusions Through improvement of position to raise the bedside till 70 to 80 in angle, the insertion of gastric lavage canal through bite block orally was much better than the normal one and it is worth applying.

关 键 词：气管插管 药物中毒 有机磷农药 胃管 护理 

分 类 号：R595.4[医药卫生—内科学] R472.91[医药卫生—临床医学]