腹部按摩刺激胃起搏点对老年患者螺旋型鼻肠管置管成功率的影响  

The effect of stimulating the gastric pacemaker by abdominal massage on the success rate of spiral nasalgastric catheter placement in elderly patients

作　　者：黄莉[1] 聂丹[1] 宋学军[1] 

机构地区：[1]解放军总医院南楼消化科一病区,北京市100853

出　　处：《中华护理杂志》2014年第9期1130-1132,共3页Chinese Journal of Nursing

摘　　要：目的探讨腹部按摩刺激胃起搏点对老年患者螺旋型鼻肠管置管成功率的影响。方法选择留置螺旋型鼻肠管患者86例,随机分为实验组43例,对照组43例。实验组采用腹部按摩刺激胃起搏点法,兴奋胃起搏点促进胃肠蠕动;对照组采用常规置管方法。比较两组置管后12h、24h、36h、48h、60h及72h 6个时间段置管成功率、不良反应及患者耐受等情况。结果两组患者在6个时间点置管成功率比较,差异有统计学意义(P<0.05)。两组恶心、呕吐、腹痛、腹泻等发生例次比较,差异无统计学意义(P>0.05),而在腹胀是否明显减轻方面,差异有统计学意义(P<0.05)。实验组按摩前后生命体征比较,差异无统计学意义(P>0.05)。结论腹部按摩刺激胃起搏点能有效改善老年患者胃肠蠕动,提高置管成功率。Objective To investigate the effect of stimulating the gastric pacemaker by abdominal massage on the success rate of spiral nasalgastric catheter placement in elderly patients. Methods Eighty-five patients with spi- ral nasalgastrie catheter placement were randomly divided into two groups. The 43 patients in the experimental group received abdominal massage to stimulate the gastric pacemaker after the placement of spiral nasalgastric catheter,while the 42 patients in the control group received routine nursing care. The success rate of intubation, adverse effects and patients＇ tolerance were compared between the two groups at 12h,24h,36h,48h and 72h. Results Compared to the control group,the success rate of intubation was higher（P〈0.05） and the abdominal distension was alleviated in the experimental group（P〈0.05）;while no significant differences were found in the incidence of adverse effects such as nausea,vomiting,abdominal pain and diarrhea as well as vital signs between the two groups（P〉0.05）. Conclusion Stimulating the gastric pacemaker by abdominal massage can promote the gastrointestinal movement effectively and increase the success rate of spiral nasalgastrie catheter placement in elderly patients.

关 键 词：肠道营养 腹部 按摩 螺旋型鼻肠管 

分 类 号：R473.5[医药卫生—护理学]