冰浴胃管联合刺激吞咽反射在咽部高反应性患者置管中的应用  

Application of Ice Bathing Gastric Tube Combined with Stimulation of Swallowing Reflex in the Catheterization of Patients with Hyperresponsiveness of the Pharynx

作　　者：赵润梅[1] 吴美英[1] 戚荟 区利娟[1] 魏见娣[1] ZHAO Runmei;WU Meiying;QI Hui(Zhongshan People’s Hospital,Zhongshan 528400,China)

机构地区：[1]广东省中山市人民医院,广东中山528400

出　　处：《中国医学创新》2018年第17期76-79,共4页Medical Innovation of China

基　　金：中山市卫生局科研立项(2015J036)

摘　　要：目的:观察冰浴胃管联合刺激吞咽反射在咽部高反应性患者置管中的应用效果。方法:选取2014年10月-2016年8月本院急诊抢救室及急诊病房收治的咽部高反应性清醒患者100例进行临床研究,根据来诊时间排序,序列号为单号患者作为观察组,序列号为双号患者作为对照组,各50例。对照组给予常规置管,观察组给予冰浴胃管联合刺激吞咽反射置管。观察两组置管成功所需时间,置管一次成功率、二次成功率及失败率,黏膜出血、胃管扭结及窒息不良反应发生率,以及对置管的舒适度。结果:观察组置管成功所需时间明显短于对照组,VSA评分明显低于对照组,差异均有统计学意义(t=8.650、6.168,P=0.000、0.000)。观察组一次置管成功率为74.00%,明显高于对照组的32.00%;观察组置管失败率为4.00%,明显低于对照组的22.00%,差异均有统计学意义(X^2=16.058、5.659,P=0.000、0.017)。观察组置管不良反应总发生率为8.00%(4/50),明显低于对照组的28.00%(14/50),差异有统计学意义(X^2=5.488,P=0.019)。结论:冰浴胃管联合刺激吞咽反射在咽部高反应性患者置管中具有重要应用价值,能够明显提高置管的成功率,缩短置管时间,提高患者置管过程中的舒适度,减少不良反应的发生,应于临床推广应用。Objective：To observe the effect of ice bathing gastric tube combined with stimulation of swallowing reflex in the catheterization of patients with hyperresponsiveness of the pharynx.Method：A total of 100 pharyngeal hyperresponsiveness awake patients treated in our emergency resuscitation room and emergency ward from October 2014 to August 2016 were selected.According to the visiting time,the serial number was single number as observation group,the serial number was double number as control group,50 cases in each group.The control group was treated with conventional catheterization,the observation group was treated with ice bathing gastric tube combined with stimulation of swallowing reflex catheterization.The time required for successful catheterization,the primary success rate,the secondary success rate and the failure rate,the incidence of mucosal bleeding,gastric tube kink and asphyxia adverse reactions and the comfort of the two groups were observed.Result：The time required for successful catheterization in the observation group was significantly shorter than that in the control group,the VAS score was significantly lower than that in the control group,the differences were statistically significant（t=8.650,6.168,P=0.000,0.000）.The primary success rate of catheterization in the observation group was 74.00%,which was higher than 32.00% of the control group,the failure rate of catheterization was 4.00%,which was significantly lower than 22.00% of the control group,the differences were statistically significant（χ^2=16.058,5.659,P=0.000,0.017）.The total incidence of adverse reactions in the observation group was 8.00%（4/50）,which was significantly lower than 28.00%（14/50）of the control group,the difference was statistically significant（χ^2=5.488,P=0.019）.Conclusion：The ice bathing gastric tube combined with stimulation of swallowing reflex has important application value in the catheterization of patients with hyperresponsiveness of the pharynx.It can significantly improve the success

关 键 词：冰浴胃管 吞咽反射 咽部高反应 置管 

分 类 号：R472[医药卫生—护理学]