不同胃管固定方法对腹部手术患者术后非计划性拔管的影响  

Effects of three stomach tube fixationson UEX inpatients with abdominal surgery

作　　者：李琳[1] 刘佳佳[1] 宋海霞[1] 文亚婷 臧莉[1] 

机构地区：[1]第四军医大学附属唐都医院普通外科,西安710038

出　　处：《中华现代护理杂志》2016年第32期4724-4727,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨不同胃管固定方法对腹部手术患者术后非计划性拔管的影响。方法选取2015年12月-2016年4月第四军医大学附属唐都医院普通外科收治行腹部手术常规术前留置胃管的患者135例，采用随机数字表法将其随机分为A、B、C3组，每组45例。A组采用人型胃管固定法，B组采用双T型胃管固定法，C组采用改良式双T型胃管固定法，比较3种胃管固定方法患者术后非计划性拔管的发生率。结果A组患者胃管滑脱14例（31．11％），胃管移位17例（37．78％）；B组患者胃管滑脱11例（24．44％），胃管移位13例（28．89％）；C组患者术后胃管滑脱4例（8．89％），胃管移位5例（11．11％）；3组胃管滑脱率、移位率比较差异有统计学意义（x2值分别为6．939，8．640；P〈0．05），两两比较结果显示：C组胃管滑脱率、移位率低于A组，差异有统计学意义（x2值分别为6．944，8．663；P〈0．017）；C组有效固定时间长于B、C组，差异有统计学意义（P〈0．017）。结论改良式双T型胃管固定方法胃管滑脱率、移位率低于人型胃管固定法，有效固定时间优于人型胃管固定法、双T型胃管固定法，且操作简便．易于临床推广。Objective To explore the effects of three stomach tube fixations on unplanned extubation （UEX） in patients with abdominal surgery. Methods Totally 135 patients with abdominal surgery who were admitted and treated in the department of general surgery of Tangdu hospital from December 2015 to April 2016 were selected as the research object, and were divided into three groups according to random number table, with 45 cases in each group. Group A adopted human-shape stomach tube fixation, and group B adopted double-T stomach tube fixation, while group C adopted modified double-T stomach tube fixation. The incidence of UEX after abdominal surgery were eomparedamong 3 groups.Results There were 14 cases of gastric tube slippage （31.11%） and 17 cases of stomach tube shift （37.78%） in the group A; there were 11 cases of gastric tube slippage （24.44%） and 13 cases of stomach tube shift （28.89%） in the group B; while there were 4 cases of gastric tube slippage （8.89%） and 5 cases of stomach tube shift （11.11%） in the group C （X2= 6.939,8.640 ;P〈 0.05）. The rates of tube slippage and tube shift in the group C were lower than that in the group A （X2= 6. 944,8.663;P〈0.017）. Effective fixed time in the group C was longer than that in the group B and A （P〈 0. 017）.Conclusions There is no obvious differences in reducing the incidence of UEX after abdominal surgery between ＂ double T＂ type tube fixation and ＂ human-shape type＂ tube fixation, but themodified double T tube fixation can effectively reduce complications of gastric tube UEX after abdominal surgery and it is easy to operate, and is worthy of promotion in clinical nursing service.

关 键 词：胃管固定方法 胃管 腹部手术 非计划性拔管 

分 类 号：R472.9[医药卫生—护理学]