改良后三腔管临床应用的效果观察  

Study of the clinical application of improved triple-lumen tube

作　　者：陆关珍[1] 陶冬梅[1] 沈旭慧[1] 徐玲芬[1] 陈苏红[1] 陈慧敏[1] 

机构地区：[1]浙江省湖州市中心医院肝胆内外科,313000

出　　处：《中华护理杂志》2009年第3期209-211,共3页Chinese Journal of Nursing

基　　金：浙江省医药卫生科研基金资助A类项目;项目编号:2006A112

摘　　要：目的研制新一代实用型三腔单囊管。方法对三腔二囊管进行气囊、管腔、管径,封气装置的改良。增加重力锤、定位标志防滑等装置。采用随机数字法,对82例肝硬化并发食管胃底静脉曲张破裂出血患者分为观察组42例(三腔单囊管);对照组40例(三腔二囊管),进行改良前后的资料统计分析。结果两组置管全程时间、置管时间、置管成功率均P<0.01;出血控制程度、平均止血时间、止血总有效率均P>0.05;置管、牵引、放松过程中不同时期不良反应的比较,观察组明显优于对照组,置管时各指标均P<0.01。结论三腔单囊管是治疗食管胃底静脉曲张破裂出血患者的简便、安全、人性化的止血器材。Objective To devise a new generation rescue equipment of Sengstaken-Blakemore tubes which is more humanistic and practical. Methods To improve the production and technical indication of the Sengstaken-Blakemore tubes,including the construction （airbag,lumen, caliber,and seal-exhauster equipment）,processing materials,gravity hammer antiskid device. Patients who were hepatocirrhosis with esophageal and gastric varices bleeding were divided into two groups,40 in Sengstaken-Blakemore tube group and 42 in three-chambered-single bag tube group,the improved tube group）. Data were collected to compare between the two groups. Results There were significant differences between the two groups on catheter installing efficiency,whole process using time,catheter installing time and the success rate（P〈0.01）. There were no significant differences between the two groups on bleeding control,average time of hemostasis,and total effective rate of hemostasis （P〉0.05）. The adverse effect during installing catheter,draw and release it had significant differences between the groups（P〈0.01 ）. Conclusions Exploitation of the Sengstaken-Blakemore tube provides convenient,safety and humanistic rescue equipment for the patients with esophageal and gastric varices bleeding.

关 键 词：食管和胃静脉曲张 胃肠出血 插管法 胃肠 

分 类 号：R472[医药卫生—护理学]