自创新型胃管固定装置在食管癌患者术后临床运用的效果  

A New Self-made Nasogastric Tube Fixation Device for Esophageal Cancer Patients after Esophagectomy

作　　者：周洪霞[1] 林一丹[1] 

机构地区：[1]四川大学华西医院胸外科,成都610041

出　　处：《中国胸心血管外科临床杂志》2014年第1期87-89,共3页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：目的观察我们自创新型胃管固定装置的临床运用效果。方法选择2012年1月至2013年5月在华西医院某一医疗组连续治疗的食管癌患者76例,其中男62例、女14例,平均年龄60.7岁,前瞻性观察自创胃管固定装置的临床运用效果。临床观察的起点为手术当天,终点为患者开始进食(通常为术后第6 d),或胃管发生脱落,或患者要求退出试验。观察指标包括胃管是否发生脱落,以及该装置是否产生或增加患者不适感。结果 76例患者的手术时间为(192±12)min,住院死亡1例,死亡原因为术后第8 d发生肺部感染,经抗感染治疗效果不佳发生呼吸衰竭,家属放弃进一步治疗自动出院。所有患者均完成试验,无胃管脱落事件发生,无患者诉严重不适,有3例患者感装置对头面部有明显压迫感,并由此感到轻度不适,仍可耐受。结论自创胃管固定装置被初步证实可以防止胃管脱落,可以开展中等规模临床试验,进一步验证其临床效果。Objective To investigate clinical outcomes of a new self-made nasogastric tube （NGT） fixation device. Methods From January 2012 to May 2013, 76 consecutive patients with esophageal cancer who underwent esophagectomy by a same surgical group in West China Hospital were included in this study. There were 62 male and 14 female patients with their average age of 60.7 years. Clinical outcomes of the NGT fixation device were prospectively evaluated from the operation day to patients＇ resumption of oral intake （usually 6 days postoperatively）, or the time when NGT fell off accidentally or patients asked to exit this study. The main outcomes included whether NGT fell off, and caused or increased patients＇ discomfort. Results The operation time of the 76 patients was 192± 12 minutes. Postoperatively, 1 patient died of refractory pulmonary infection and respiratory failure before further treatment was refused by the patient and relatives. All the patients completed this study. There was no NGT falling off or severe patients＇ discomfort. Three patients complained obvious but tolerable face compression with mild discomfort. Conclusions This new fixation device can effectively prevent NGT from falling off. Further clinical trial is needed to investigate its clinical value.

关 键 词：食管癌 胃管固定 胃肠减压 

分 类 号：R735.1[医药卫生—肿瘤]