气管插管病人胃管置入方法的临床研究  

Clinical research on gastric canal inserted method in the patients with endotracheal intubation.

作　　者：韩淑贞[1] 张利岩[1] 韦中余[1] 公静[1] 雷联会[1] 

机构地区：[1]北京武警总医院护理部,100039

出　　处：《护理实践与研究》2009年第10期1-4,共4页Nursing Practice and Research

摘　　要：目的:探讨气管插管病人不同胃管置入方法一次插管成功率及对病人的影响。方法:将308例气管插管病人随机分为卡弗放气组(A组)、卡弗不放气组(B组)、头部前倾组(C组)和牵拉气管组(D组)各77例。观察并比较四组一次插管成功率、插管所需时间、插管前后HR、SpO2及插管过程中呛咳、鼻咽黏膜出血等不良反应发生率。结果:(1)一次插管成功率比较,A组与B组无显著差异(P>0.05),C组显著低于A、B组(均P<0.01),D组显著高于其他各组(均P<0.01)。(2)置管时间,A组与B组无显著性意义(P>0.05);C组与A、B组相比,置管时间明显延长(均P<0.01);D组与其他各组相比,置管时间明显缩短(P<0.05和P<0.01)。(3)置管后HR、SpO2与各自置管前相比,B、D组差异无显著性(均P>0.05),A、C组HR明显加快(P<0.05和P<0.01)、SpO2显著降低(均P<0.01)。(4)D组与A、B、C三组相比,恶心、呛咳发生率均显著降低(均P<0.01);D组与A、C两组相比,黏膜出血发生率均显著降低(均P<0.01);D组与B组相比,黏膜出血发生率无显著差异(P>0.05)。结论:对气管插管病人在镇静状态下牵拉气管的同时置入胃管,准确性高、不良反应少。Objective： To explore the method of the gastric canal insertion in the patients undergoing endotraeheal intubation Methods ： Three hundred and eight eases of endotracheal intuhation intofour groups ： kafu - deflation group （ A）, none - kafu - deflation group （B） ,head declining forwards（C） ,pulling the tracheal under calm state （D）, with each group of 77 cases, the intubation successful rate, The time of gastric canal insertion ,heart rate（HR） and SpO2 before and after intubation, and the choking and blocding occurfence during intuhation were observed and compared. Results ： （ 1 ） The intubation successful rate showed no significant difference between group A and B （P〉0.05）, but significantly lower in the group C than in me group A and B（ all P〈0.01）, and significantly higher in the group D than other groups （all P 〈 0. 01 ）. （2）In the time of gastric canal insertion , no significant difference between group A and B （ P 〉 0.05 ）, but significantly slower in the group C than in me group A and B （ all P 〈 0.01 ）, and significantly quicker in the group D than other groups （all P〈0.01 ）. （3） Before and after gastric canal insertion ,there was no significant difference in HR , SpO2 between group B and D（all P 〉 0. 05） ; in the groups A and C, HR was obviously increased （ P 〈 0. 05 and P 〈 0. 01 ）, while SpO2 the remarkably decreased（ all P 〈 0.001 ）. （4）During the gastric canal insertion ,the choking occurrence in the group D was significantly lower than any other groups（ all P 〈 0.01 ） ; the Blooding occurrence in group D was significantly lower than in tne group A and C （ all P 〈 0.01 ） , and showed no significant differenee between group D and B （ P 〉 0.05）. Conclusion： For the tracheal intubation patients, gastric canal insertion had a higher accurate and less side effect at the same of pulling trachea.

关 键 词：留置胃管 气管插管 临床研究 

分 类 号：R472[医药卫生—护理学]