5种术中胃管置入法在食管贲门肿瘤患者中的应用效果分析  

作　　者：陈静芝[1] 周东贤[1] 谢少凰[1] 李雪丹[1] 林晓如[1] 

机构地区：[1]揭阳市人民医院手术室,广东揭阳522000

出　　处：《现代临床护理》2009年第4期72-73,58,共3页Modern Clinical Nursing

摘　　要：目的探讨食管贲门肿瘤患者全身麻醉后应用不同胃管置入法的插管效果。方法总结本院2004年1月～2008年1月行手术治疗的食管贲门肿瘤患者术中胃管置入方法,并对1次置管成功率进行比较。结果各种插管法的一次插管成功率A组(双J管导丝引导法)为61.3%、B组(喉镜引导法)为78.6%、C组(喉镜引导+气管导管导引法)为83.3%、D组(无线视频喉镜引导+气管导管引导法)为92.3%、E组(术中逆行引导法)为100.0%。结论合理选择留置胃管的方法,可减少插管损伤、提高食管贲门肿瘤患者术中胃管置入的1次成功率。Objective To explore the effect of different ways for intubation of a gastric tube after general anaesthesia in patients with esophageal cardial cancers. Method The data on intubation of a gastric tube after general anaesthesia in esophageal cardial cancer patients hospitalized from January 2004 to January 2008 were collected and the cases with one-time success rate were analyzed. Result The one-time intubafion success rates with J tube guide wire, laryngoscope, laryngoscope plus tracheal catheter, wireless video laryngoscope plus tracheal catheter, and retrogressive guidance during operation were 61.3%, 78.6%, 83.3%, 92.3% and 100.0%. Conclusion Reasonable methods for intubation of gastric tube may help prevent intubation-induced injuries and increase the one-time success rate of intraoperative intubation in patients with esophageal cardial cancers.

关 键 词：食管贲门肿瘤 胃管置入法 成功率 护理 

分 类 号：R472[医药卫生—护理学]