老年尿毒症吞咽障碍患者改良插胃管法的效果观察  

Improved Gastric Tuber Intubation for Elderly Uremia Patients with Swallowing Disorder

作　　者：赵小红[1] 赵红 孙晓蕊[1] 郭文[1] 

机构地区：[1]陕西省人民医院肾内科,陕西西安710068 [2]西安市第五医院门诊手术室,陕西西安710082

出　　处：《护理学报》2015年第2期4-6,共3页Journal of Nursing（China）

基　　金：陕西省科学技术研究发展计划项目(2012KRM31)

摘　　要：目的探讨并评价改良插胃管法在老年尿毒症吞咽障碍患者中应用的效果。方法将41例肾内科老年尿毒症吞咽障碍需要鼻饲患者作为研究对象,按照入院的先后顺序分为对照组20例和改良组21例。对照组采用传统插胃管法,改良组采用改良插胃管法。观察比较两组患者置管成功率、置管时间、恶心呕吐和呛咳发生率。结果改良组1次置管成功率、2次置管成功率明显高于对照组,差异有统计学意义(χ2=4.111,χ2=4.221,均P<0.05);改良组置管时间明显少于对照组(t=2.271,P<0.05),置管时呛咳发生率低于对照组(χ2=4.667,P<0.05),差异有统计学意义。而两组患者恶心呕吐发生率比较差异无统计学意义(χ2=0.006,P>0.05),置管费用无差异。结论改良插胃管法能显著提高置管成功率,缩短置管时间,减轻患者痛苦。Objective To evaluate the effect of improved gastric tuber intubation on elderly uremia patients with swallowing disorder. Methods Forty-one elderly uremia patients with swallowing disorder were divided into control group with convention gastric tuber intubation （n=20） and experiment group with improved gastric tuber intubation （n=21）. Success rate of intubation, intubation time, the incidence of nausea, vomiting and bucking were compared in two groups. Results The one-time and second-time success rate of gastric tube intubation in experiment group were higher than those in control group, which indicated statistical significance （χ2=4.111,χ2=4.221,P〈0.05） and there was shorter intubation time （t=2.271,P〈0.05） and lower incidence of bucking （χ2=4.667,P〈0.05） in experiment group than those in control group but there was no statistical significance in the comparison of the incidence of nausea and vomiting （χ2=0.006,P〉0.05）） and the intubation cost. Conclusion The improved gastric tube intubation is effective for improving the success rate of intubation, shortening intubation time and relieving patients ’ pain.

关 键 词：老年 吞咽障碍 插胃管 护理 尿毒症 

分 类 号：R971.2[医药卫生—药品]