利宁凝胶在留置胃管中的应用  

THE APPLICATION OF TETRACAINE HYDROCHLORIDE JELLY IN INDWELLING GASTRIC TUBE

作　　者：刘娅婻[1] 欧美荣[1] 

机构地区：[1]青岛大学医学院附属医院泌尿外科,山东青岛266003

出　　处：《齐鲁医学杂志》2010年第1期71-72,共2页Medical Journal of Qilu

摘　　要：目的探讨减轻术前留置胃管给病人带来痛苦的方法，提高置胃管的一次成功率。方法将100例术前需置胃管的病人随机分为对照组和观察组，对照组在操作中使用液状石蜡充分润滑胃管，观察组在置管前5min先滴2滴利宁凝胶于置管侧鼻孔内，然后将剩余凝胶润滑胃管，观察两组病人置管时恶心、呛咳反应、鼻咽部黏膜损伤的发生率及插管成功情况。结果观察组留置胃管恶心、呕吐、呛咳发生率分别为6%（3／50）、6％（3／50）、4％（2／50），对照组为20％（10／50）、28％（14／50）、22％（11／50）；鼻咽部黏膜损伤发生率对照组为6％（3／50），观察组为0；一次插管成功率观察组为98％，对照组为80％。两组留置胃管恶心、呕吐、呛咳发生率和一次插管成功率比较，差异有显著性（χ^2=4．33～8．58，P〈0．05）。结论置胃管过程中应用利宁凝胶保证了留置成功率，提高了病人的舒适度。Objective To look for a method to reduce sufferings in gastric tube inserting and raise its one time success rate. Methods This study consisted of 100 patients undergoing preoperative gastric tube indwelling, who were randomized to two groups. For control group, the tube was lubricated with liquid paraffin; for experimental group, two drops of Tetraeaine Hydrochloride Jelly were dripped into the nostil of tubing side five minutes before, the remaining jelly was lubricated to the tube. Nausea, vomiting and injury of nasopharyngeal mucous membrane due to tube inserting and the one-time-success inserting rate were recorded. Results The incidence of nausea, vomiting, and bucking was 6%（3/50）, 6 % （3/50） and 4% （2/50）, respectively, in the experimental group, and 20%（10/50）,28%（14/50） and 22%（11/50） in the control. The incidence of membrane injury was 6% （3/50） in the control group and 0 in the experimental. The one-time success rate was 98% in the experimental and 80% in the control. The differences in all items recorded were significant between the two groups （χ^2 = 4. 33- 8. 58, P〈0. 05）. Conclusion The application of Tetracaine Hydrochloride Jelly for inserting of gastric tube increased the one time success rate and improved the comfort of patients.

关 键 词：插管法 胃肠 利宁凝胶 治疗结果 

分 类 号：R473.6[医药卫生—护理学]