ICU昏迷患者通过呼吸进行胃管留置  

Gastric tube indwelling through breath for coma patients in ICU

作　　者：罗玉珍[1] 汪海芹[1] 冼晓兰[1] 林玉珍[1] 高明珠[1] 

机构地区：[1]江门市中心医院重症医学科,529030

出　　处：《国际医药卫生导报》2013年第11期1686-1688,共3页International Medicine and Health Guidance News

摘　　要：目的探讨昏迷患者通过呼吸进行胃管留置，以提高患者护理质量及提高护理人员操作技术。方法将入住我科80例昏迷患者随机分为实验组40例和对照组40例，实验组采用呼吸方法进行胃管留置，对照组采用吞咽方法进行留置胃管。结果两组患者留置胃管后恶心呕吐X2=4.5；一次成功率X2=13．09；食管损伤X2=6．27。实验组成功率明显优于对照组，不良反应明显下降，差异有统计学意义（P〈0．05）；结论昏迷患者通过呼吸观察进行胃管留置能提高一次成功率，减少患者不良反应，提高护理人员技术含量。Objective To explore gastric indwelling through breath for patients in coma and to improve the nursing care quality and the nursing staff＇ s operation skill. Methods 80 coma patients in our department were randomly divided into experimental group and control group, 40 for each group. The experimental group were indwell gastric tube with breathing method, and the control group with swallowing method. Results After gastric tube dwelling, fower patients occurred nausea and vomiting and esophageal damage （X 2=4.5, X 2=6＂27）, the one-time successful rate was higher （X 2= 13.09）, and the incidence of adverse reaction was lower in the experimental group than in the control group, with significant differences （P 〈 0.05）. Conclusions Gastric tube indwelling through breathing observation for coma patients can improve one-time successful rate, reduce patients＇ adverse reaction, and improve nursing staff＇ s skill.

关 键 词：胃管 呼吸 昏迷 

分 类 号：R472[医药卫生—护理学]