两种冲管液预防胃肠营养管堵管的效果评价  

Comparison of the effects of two flushing fluid in the prevention of gastrointestinal nutrition tube blocking

作　　者：柏玲[1] 缪菲[1] 王维霞[1] 邱晓娟[1] 

机构地区：[1]西安交通大学第二附属医院急诊科710004

出　　处：《中华现代护理杂志》2014年第35期4523-4525,共3页Chinese Journal of Modern Nursing

摘　　要：目的：比较两种冲管液在冲洗胃肠营养管预防堵管的效果。方法将放置胃肠营养管行肠内营养的64例患者，按住院号随机分为观察组35例和对照组29例，每日滴注营养液完毕后观察组采用5％碳酸氢钠溶液加多酶片2片冲洗胃肠管，闭管30 min后，再用0．9％氯化钠溶液20 ml冲管；对照组采用0．9氯化钠溶液20 ml冲洗胃肠管闭管；比较两组患者胃肠营养管堵管发生率。结果对照组营养管堵管率为34．5％，观察组堵管率为5．7％，两组比较差异有统计学意义（P＝0．0043）。结论应用5％碳酸氢钠加多酶片可冲洗、溶解黏附在导管壁上的内容物，有效减少胃肠营养管阻塞，使肠内营养能顺利进行。Objective To compare the effect of two kinds of flushing fluid in the prevention of gastrointestinal nutrition tube blocking .Methods Sixty-four patients who were placed the gastrointestinal nutrition tube for enteral nutrition were randomly divided into observation group , which contained 35 cases, and control group, which contained 29 cases.After daily infusion of nutrient solution , 5% sodium bicarbonate solution plus 2 Multi-enzyme flushed gastrointestinal nutrition tube for the observation group; while for the control group, the 20ml normal saline was used .Results Compared the incidence of clogging rate of the two gastrointestinal nutrition tube , observation group was 5.7% and control group was 34.5%, the difference was statistically significant （P 〈0.01）.Conclusions The sodium bicarbonate solution plus Multi-enzyme can wash, dissolve the contents ’ adhering to the catheter wall , and reduce the obstruction of gastrointestinal nutrition tube effectively , so that enteral nutrition can proceed smoothly .

关 键 词：胃肠营养管 冲管液 堵管 5%碳酸氢钠溶液 

分 类 号：R472[医药卫生—护理学]