急性脑卒中合并吞咽困难患者留置胃管长度的临床研究  

Clinical research of length of indwelling gastric tube in stroke patients with dysphagia

作　　者：张玉香[1] 张玉榕 曹建华[2] 

机构地区：[1]山东省滨州市人民医院门诊部,256610 [2]山东省滨州市人民医院急诊科,256610 [3]山东省滨州市继续教育办公室

出　　处：《中华现代护理杂志》2011年第12期1372-1374,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨留置胃管长度对急性脑卒中合并吞咽困难患者预后的影响。方法将78例急性脑卒中合并吞咽困难患者随机分为观察组和对照组，每组39例。观察组患者插管长度55～65cm，对照组采用传统的方法，插管长度45—55cm。结果插管后3d及1周时，观察组患者胃管脱出次数少于对照组，胃肠道并发症恶心、呕吐、误吸、腹胀、腹泻、上消化道出血少于对照组（P〈0．05）；观察组插管后2周吸入性肺炎发生率明显低于对照组，差异有统计学意义（P〈0．05）。结论观察组患者呕吐反流、误吸、腹胀、腹泻、上消化道出血等并发症明显降低；肺炎发生率明显降低。Objective To evaluate the affection of length of indwelling gastric tube in stroke patients with dysphagia. Methods 78 stroke patients with dysphagia were assigned into two groups randomly, 39 cases in each group, tube length was 55 ~ 65 cm in observation group, 45 ~ 55 cm in control group. Results 3 days and 1 week after intubation, the incidence rate of tube pulling out, gastrointestinal complications such as nausea and vomiting, aspiration, diarrhea and abdominal distension, upper gastrointestinal hemorrhage of observation group were lower than control group（ P 〈0. 05 ） ; 2 weeks after intubation, the aspiration pneumonia incidence of observation group was lower than control group, the difference was statistically significant（P 〈 0. 05）. Conclusions The incidence of vomiting, reflux, diarrhea and abdominal distension, upper gastrointestinal hemorrhage, pneumonia decreased remarkablely.

关 键 词：急性脑卒中 吞咽困难 胃管长度 

分 类 号：R472[医药卫生—护理学]