延长置管深度提高老年病人螺旋形鼻肠管置管成功率的研究  

Extending catheter depth to improve catheter success rate of spiral nasointestinal in elderly patients

作　　者：黄莉[1] 宋学军[1] 王文菊[1] 

机构地区：[1]中国人民解放军总医院

出　　处：《护理研究（上旬版）》2017年第3期796-798,共3页Chinese Nursing Researsh

基　　金：第五期中央保健科研课题;编号:W2013BJ101

摘　　要：[目的]探讨延长置管深度对提高老年病人螺旋形鼻肠管置管成功率的影响。[方法]将56例需置管老年男性病人随机分为观察组、对照组各28例。对照组采用常规方法置管。观察组在对照组基础上,依据病人身高,将螺旋管带导丝继续延长送入10cm^20cm,然后撤出全部导丝,悬空40cm固定于近耳侧,待其自行蠕动至目标位置。[结果]观察组置管成功率高于对照组,两组在2h、4h、6h、8h置管成功率比较差异有统计学意义。观察组28例病人延长置管前后生命体征比较差异无统计学意义。[结论]延长置管深度能够提高老年病人盲插螺旋形鼻肠管幽门后置管成功率,该方法老年病人耐受性好,对生命体征无明显影响。Objective： To probe into the influence of prolonging the depth of catheter insertion on the cathetersuccess rate of spiral nasointestinal tube in elderly pat ients. Methods： A total of 56 male elderly patients who need catheter were randomly divided into observation grou p（28 cases） and control grou p（28 cases）. The patients in control group were placed by conventional method. The spiral tube with guide wire extendedcm in observation group according to the p a t ien ts’ h e ig h t , then withdraw all the guide w i re , suspended 40 cm and fixed near the e a r, until its own creep to the target position. R e s u l t s： The success robservation group was higher than th at in control group. There was statistically significant dcess rate of catheterization between the two groups at 2 h ,4 h ,6 h and 8 h. There was no statistically significant difference in vital signs of patients in observation group before and after catheterization. C o n c lu s io n s ： The pro-longed catheter insertion depth can improve the success rate of the posterior pyloric intubation in elderly pa-tients. The elderly patients had good tolerance and no obvious influence on the vital signs.

关 键 词：螺旋形鼻肠管 置管方法 老年病人 护理 

分 类 号：R472[医药卫生—护理学]