气管插管病人3种胃管置入方法的临床效果比较  

Comparision of clinical effect of three kinds of gastric canal inserted method on patients with endotracheal intubation

作　　者：韩淑贞[1] 张利岩[1] 公静[2] 韦中余[1] 孟喆[1] 

机构地区：[1]武警总医院护理部,北京100039 [2]武警总医院重症监护科,北京100039

出　　处：《中华现代护理杂志》2009年第17期1601-1604,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨气管插管病人3种不同胃管置入方法的临床效果。方法将ICU261例气管插管病人随机分为常规插管组（A组）、导丝导引组（B组）和牵拉气管组（C组）各87例。观察并比较一次插管成功率，置管时间，插管前后心率（HR）、经皮血氧饱和度（SpO2）及插管过程中恶心、呕吐、呛咳及鼻咽黏膜出血等不良反应发生率。结果一次插管成功率比较，B组为83．91％，高于A组的70．11％；C组为98．85％，高于A组、B组，差异均有统计学意义（P〈0．05）。置管时间、操作总时间比较，C组较A组、B组缩短（均P〈0．01），B组较A组延长（P〈0．01）。置管后HR、SpO2与各自置管前相比，C组无明显变化，A组、B组均明显降低（均P〈0．01）。置管过程中恶心、呕吐、呛咳及鼻咽黏膜出血发生率，C组均低于A组、B组（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人胃管，准确性高、不良反应少。Objective To compare the clinical effect of three kinds of gastric canal inserted method on patients with endotracheal intubation. Methods Two hundred and sixty-one cases of patients with endotracheal intubation were.divided into group A （conventional group）, B（inserting gastrntube by a guide-wire in it）, C （pulling the tracheal under calm state） ,with each group of eighty-seven cases. The intubation successful rate, the time of gastric canal insertion, I-IR and SpO2 before and after intubation, and the choking and blooding occurrence during intubation were observed and compared. Results The intubation successful rate showed significantly higher in the group B（83.91% ） than in the group A （70. 11% ,P 〈0. 05）, and significantly higher in the group C（98.85% ） than in tne groups A and B（ all P 〈 0. 01 ）. In the time of gastrotube insertion , significantly quicker in the group B（ 43.25 ± 5.56s） than in the group A （ 55.30 ±6.20 ） s （ P 〈 0. 01 ）, and significantly quicker in the group C（27.75 ±4.16）s than in the groups A and B（all P 〈0. 01） ;In the total time of whole operation,significantly quicker in the group C （103.16 ± 5.36）s than in the groups A and B （111.45 ± 5.85 s, 115.35± 5.25 s, all P 〈 0. O1 ）, and significantly slower in the group B than in the group A （P 〈 0. 01 ）. Before and after gastrotube insertion , there was no significant difference on HR in groups B and C （ all P 〉 0. 05）, in the group A HR was obviously increased （P 〈 0. 05） ; while SpO2 there was no significant difference in group C, and the remarkably decreased in groups A and B （ P 〈 0. 01, P 〈 0. 05 ）. During the gastrotube insertion , The choking and blooding occurrence in the group C （2.30% ,0）was significantly lower than in the groups A （ 13.79 %, 9.20% ） and B（8.05% ,5.75% ） （P 〈0. 01 ,P 〈0. 05）, and there was no significant difference in groups B and A（all P 〉 0. 05）. Conclusions It shows higher accurate and less

关 键 词：留置胃管 气管插管 临床效果 

分 类 号：R472[医药卫生—护理学]