食道癌手术后患者胃管十二指肠营养管固定方法的探讨  

A Probe of Feeding Tube Fixation after Esophagectomy

作　　者：聂臣聪[1] 魏琴[1] 李常容[1] 

机构地区：[1]四川省自贡市第四人民医院胸心外科,四川自贡643000

出　　处：《吉林医学》2015年第4期751-752,共2页Jilin Medical Journal

摘　　要：目的:探讨用胶布固定与用棉带双套结固定胃管、十二指肠营养管之间的差异,选择有效、安全的固定方法,减少管道移位及管道脱落,减轻患者痛苦,节约患者的经济。方法:对90例食道癌根治手术后放置十二指肠营养管及胃肠减压管的患者,分组采用不同方法固定,试验组使用棉带双套结方法固定,对照组使用传统的胶布固定法,观察并比较两组患者管道移位、管道脱落例数、局部皮肤变化情况。结果:棉带两套结固定胃管、十二指肠营养管的方法在安全、牢固方面优于传统胶布固定,两组比较,差异有统计学意义(P<0.05)。结论:使用棉带双套结固定胃管及十二指肠营养管效果更加安全牢固,有效预防管道移位及脱落。Objective To find an effective and safety method for grastrie tube fixation after esophagectomy, two different methods for fix- ation with adhesive phster and cotton - rope - two - knots were compared. Method 90 cases of esophagectomy patients were divided into test group and control group. Tubes in test group were fixed with modified cotton - rope - two - knots fixation and tubes in control group were fixed with adhesive plaster only. The cases of tube shedding,local skin lesions ,patient tolerance were recorded. Results The method of cotton - rope - two - knots fixation was superior to adhesive plaster in security and firmness. The difference was statistically significant （ P 〈 0. 05 ）. Conclusion The method of cotton - rope - two - knots fixation of duodenal gastric tube is secure and firm to prevent tube displace- ment and shedding.

关 键 词：十二指肠营养管 胃管 固定 改良固定法 

分 类 号：R473.73[医药卫生—护理学]