侧卧位徒手气道开放置胃管法在重症脑卒中患者的应用  

Application of Lateral Position and Opening-airway in Gastric Tube Inserting for Severe Stroke Patients

作　　者：刘岩[1] 高力频[1] 王晓艳[1] 

机构地区：[1]中国人民解放军海军总医院,北京100048

出　　处：《护理学报》2013年第12期47-49,共3页Journal of Nursing（China）

基　　金：海军总医院创新培育基金项目(H 201102)

摘　　要：目的探讨适用于重症急性脑卒中昏迷伴舌后坠、颅内压增高患者的胃管置入方法。方法将90例重症急性脑卒中昏迷患者分为3组各30例,观察组采用侧卧位徒手开放气道法,对照1组采用侧卧位置管法,对照2组采用侧卧位拉舌法,比较3组患者1次置管成功情况、不良反应程度和舌损伤情况。结果1次置管成功率,观察组高于对照1组(P<0.01),与对照2组比较差异无统计学意义(P>0.05);不良反应程度,观察组低于对照2组(P<0.01),与对照1组比较差异无统计学意义(P>0.05);舌损伤情况,观察组低于对照2组(P<0.05),与对照1组比较差异无统计学意义(P>0.05)。结论侧卧位徒手气道开放置胃管法,用于重症脑卒中昏迷伴舌后坠、颅内压增高患者,成功率高、刺激小、损伤轻,值得临床推广。Objective To explore a suitable method of inserting gastric tube for severe acute stroke patients in coma with glossocoma and intracranial hypertension. Methods Ninety patients in coma with severe acute stroke were randomly divided into three groups with thirty case in each group. Gastric tube was inserted in observation group under the condition of lateral position and opening- airway while in control group 1 under the condition of lateral position and in control group 2 under the condition of lateral position and pulling the tongue out. Results One-time success rate was higher in observation group than that in control group 1 （P〈0.01）, while there was no significant difference in regard to one-time success rate comparison between observation group and control group 2 （P〉0.05）; there was less adverse reaction and tongue injury in observation group than those in control group 2 （P〈0.01 or P〈0.05）, while no significant difference of the comparison between observation group and control group 1 （P〉0.05）. Conclusion With lateral position and opening-airway, there is higher success rate while less stimulation and less injury in gastric tube inserting,. It is worth to be popularized in clinical promotion.

关 键 词：胃管置入 脑卒中 侧卧位 徒手气道开放 

分 类 号：R472[医药卫生—护理学]