改良经骨性标志测量胃肠减压插管深度的可行性研究  

Feasibility study on measuring of gastrointestinal decompression intubation depth with improved osseous marks

作　　者：李芬[1] 虞萍[1] 张继红[1] LI Fen YU Ping ZHANG Ji- hong(Changzhou Second People＇s Hospital Affiliated to Nanjing Medical University,Changzhou 213161)

机构地区：[1]南京医科大学附属常州市第二人民医院胃肠病中心,常州市213161

出　　处：《护理实践与研究》2017年第5期119-121,共3页Nursing Practice and Research

摘　　要：目的:探讨改良成人经骨性标志测量胃肠减压插管深度的临床疗效。方法:选择2015年1月~2016年1月在本院住院期间给予胃肠减压的患者70例,随机分为试验组(38例)和对照组(32例),试验组按"前额正中发际与两肋弓下缘连线垂直交点"为体表标志测量插管深度;对照组按传统法"前额正中发际-耳垂-剑突"为体表标志进行测量。比较两组胃管头端在胃内的位置、置管24 h内胃肠引流量、胃管通畅度、患者腹胀缓解程度以及实际的插管长度间的差异。结果:试验组置管24 h内胃肠引流量及胃管通畅度、患者腹胀缓解程度均优于对照组,两组比较有统计学差异(P<0.05);试验组体表测量插管长度、实际插管长度均大于对照组,两组比较差异有统计学意义(P<0.05)。结论:采取改良经骨性标志测量法,可使胃肠减压置管长度增加8~13 cm,插管深度可达到胃中部或胃窦部,减压效果更好。Objective ： To discuss the clinical curative effect of measuring gastrointestinal decompression intubation depth with improved adult osseous marks. Methods：Selected 70 patients receiving gastrointestinal decompression in our hospital from January 2015 to January 2016, and they were divided into test group （38 eases） and control group （32 cases）, where patients in the test group had the intubation depth measured with ＂vertical intersection between the middle of hairline of forehead and inferior margin of two costal arches＂ as the superficial sign, while patients in the control group had the intubation depth measured according to the traditional method with ＂ middle hairline of the forehead - lobulus auriculae - xiphoid process＂ as the superficial sign. Patients in the two groups were compared on the position of gastric tube in the stomach, gastric intestinal drainage within 24 h after intubation, gastric tube patency, patients＇ abdominal distension relief condition and the difference between the actual intubation depths. Results ： Within 24 h after intubation, the gastric in- testinal drainage and gastric tube pateney, and abdominal distension relief condition of patients in the test group were superior to those of patients in the con- trol group, and the comparison of the two groups was statistically different （ P 〈 0.05 ） ; the superficial measuring of intubation length, actual intubation length of patients in the test group was more than those of patients in the control group, and the difference of the two groups was statistically significant （P 〈 0.05 ）. Conclusion：Using improved osseous mark measuring method could increase the gastrointestinal decompression intubation length by 8 - 13 cm, and the intubation depth could be up to the middle of stomach or gastric antrum, with better decompression result.

关 键 词：改良经骨性标志 体表测量 胃肠减压 

分 类 号：R472[医药卫生—护理学]