烦躁患者用牙垫辅助置胃管的临床效果探讨  

Clinical effect of dental pad assistant gastric tube placement in irritable patients

作　　者：罗劲[1] 莫超连[1] 麦小玲 LUO Jin(Emergency department of Gaozhou people＇s hospital, Gaozhou, Guangdong, 525200, Chin)

机构地区：[1]广东省高州市人民医院急诊科,525200

出　　处：《齐齐哈尔医学院学报》2018年第5期600-602,共3页Journal of Qiqihar Medical University

基　　金：茂名市科技计划项目(170514181701374)

摘　　要：目的研究并探讨烦躁患者采用牙垫辅助置入胃管的临床效果。方法入组对象选择2015年10月1日—2017年10月31日我院急诊科收治的56例口服中毒烦躁洗胃患者,在计算机中按照随机数字分组原则,随机将这56例口服中毒烦躁洗胃患者分为两组,28例/组,在患者插入胃管期间,对照组采取传统经鼻腔插管,观察组先在患者口内置入牙垫后再插入胃管,比较两组口服中毒烦躁洗胃患者的一次插管成功率、插管时间、插管次数、生命体征指标,并比较两组患者家属的护理满意度。结果观察组的一次插管成功率、二次插管成功率分别为82.14%、100.00%,对照组为57.14%、85.71%,组间比较有统计学意义(P<0.05)。观察组的插管时间明显短于对照组(P<0.05),插管次数少于对照组(P<0.05)。插管后,观察组的心率、呼吸频率较插管前均未出现明显变化(P>0.05),而对照组的心率、呼吸频率较插管前均出现明显增高(P<0.05)。观察组家属的护理总满意率为96.43%,高于对照组家属的78.57%(P<0.05)。结论在口服中毒烦躁患者洗胃前胃管插入时,采用牙垫辅助插管,可有效提高插管成功率,缩短插管时间,减少插管次数,还可维持生命体征稳定,确保洗胃顺利完成。Objective To study and investigate the clinical effect of dental pad assisted gastric tube placement in patients with irritability.Methods From October 1 st 2015 to October 3 th 2017,56 cases of irritable oral poisoning patients were selected from the emergency department of our hospital. According to the principle of random number grouping,the 56 patients were randomly divided into two groups（ 28 cases per group）. During the period of gastric tube insertion,the control group was treated with traditional nasal intubation. The dental pad was used in patients in the observation group and then inserted gastric tube. The success rate of primary intubation,time of intubation,times of intubation and vital signs,and the nursing satisfaction were compared between the two groups.Results In the observation group,the success rates of primary intubation and the secondary intubation were 82.14% and 100. 00% respectively. The control group was 57. 14% and 85. 71%,and the comparison was statistically significant（ P〈0.05）. The intubation time of the observation group was significantly shorter than that in the control group（ P〈0.05）,and the number of intubation was less than that of the control group（ P〈0.05）.After intubation,the heart rate and respiration rate of the observation group showed no significant change,while the heart rate and respiration rate of the control group were significantly higher than those before intubation（ P〈0.05）. The total satisfaction rate on nursing in the observation group was 96.43%,it＇s higher than 78.57% of the control group（ P〈0. 05）. Conclusions Using dental pad to assist insert gastric tube before gastric lavage in irritable orally poisoning patients can effectively increase the success rate of intubation,shorten the time of intubation,reduce the times of intubation,maintain the stability of vital signs and ensure the smooth completion of gastric lavage.

关 键 词：口服中毒 烦躁 留置胃管 牙垫 护理 

分 类 号：R573[医药卫生—消化系统]