自制可视胃管引导器在全麻患者胃管置入中的应用效果  

Application effect of homcmade visible stomach tube guiding device in patients with gastric canal implantation under general anesthesia

作　　者：高特生[1] 朱琳[1] 盛娟娟[2] 陆志红[2] 许月萍[3] 

机构地区：[1]浙江中医药大学附属嘉兴中医院麻醉科,314001 [2]浙江中医药大学附属嘉兴中医院手术室,314001 [3]浙江中医药大学附属嘉兴中医院护理部,314001

出　　处：《中华现代护理杂志》2017年第1期99-102,共4页Chinese Journal of Modern Nursing

基　　金：浙江省嘉兴市科技计划项目（2014AY21033-5）

摘　　要：目的：评估自制可视胃管引导器在全麻患者胃管置入中的应用效果。方法2015年1—12月采用目的抽样法选择择期全麻下行胃肠道或肝胆手术且需留置胃管的90例患者，按数字表法分为A组（常规置管）、B组（导丝引导）及C组（自制可视引导器引导），各30例，全部患者均于全麻气管插管后立即进行胃管置入。记录三组患者胃管单次成功置入的时间、置入的次数、一次置入成功例数、置入成功总例数和咽喉部黏膜损伤例数。结果 A组和B组的置管时间均大于C组，差异有统计学意义（P＜0.05），A组置管时间最长。A组患者中仅10例一次成功，B组患者中有19例一次成功置入，C组患者均一次成功置入；C组患者胃管置入一次成功率（100.0%）高于A组（33.3%）和B组（63.3%），差异有统计学意义（P＜0.05）。A组患者置管总成功率（53.3%）低于B组（90.0%）和C组（100.0%）（P＜0.05），B组与C组总成功率差异无统计学意义（P＞0.05）。C组患者黏膜损伤发生率（3.3%）低于A组（33.3%）和B组（26.7%），差异有统计学意义（P＜0.05）。结论自制可视胃管引导器可快速提高全麻患者胃管置入一次性成功率，减少置管时间，降低患者咽喉部黏膜损伤发生率。ObjectiveTo evaluate the application effect of homcmade visible stomach tube guiding device in patients with gastric canal implantation under general anesthesia.MethodsFrom January to December 2015,90 patients who would undergo gastrointestinal or hepatobiliary surgery under general anesthesia with indwelling gastric tube were selected as the research object by purpose sampling method. 90 cases were divided into group A （conventional catheter）,group B （guidewire guided） and group C （homcmade visible stomach tube guiding device guided）,with 30 cases in each group. All patients received gastric canal implantation immediately after endotracheal intubation under general anesthesia. We recorded the time of one-time successful gastric tube implantation,the times of implantation,the number of successful cases that implanted at a time,the total number of cases with successful implantation and the number of cases with throat mucosal injury.ResultsThe intubation time of group A and group B were longer than that of group C （P〈0.05）. The time in group A was the longest. Only 10 cases in group A were successful implanted in one time,19 cases in group B were successfully implanted in one time,and all the cases in group C were successfully implanted in one time. The one-time success rate of gastric canal implantation of group C （100.0%） was higher than that of group A （33.3%） and group B （63.3%） （P〈0.05）. The total success rate of gastric canal implantation of group A （53.3%） was lower than that of group B （90.0%） and group C （100%） （P〈0.05）. The incidence of throat mucosal injury of group C （3.3%） was lower than that of group A （33.3%） and group B （26.7%） （P〈0.05）.ConclusionsThe homcmade visible stomach tube guiding device can quickly improve the one-time success rate of gastric canal implantation in patients under general anesthesia,reduce the time of implantation and decrease the incidence of throat mucosal injury.

关 键 词：革新推广 麻醉 全身 胃管置入 可视胃管引导器 

分 类 号：R472[医药卫生—护理学]