改良式双T型胃管固定法对腹部手术患者术后非计划性拔管的影响  

Effect of modified double T-shaped gastric tube fixation on postoperative unplanned extubation in patients undergoing abdominal surgery

作　　者：姚燕兴 骆翠华 任结君 YAO Yanxing;LUO Cuihua;REN Jiejun(Department of General Surgery,Huadu District People’s Hospital,Guangdong,Guangzhou 510800,China)

机构地区：[1]广州市花都区人民医院普通外科,广东广州510800

出　　处：《中国医药科学》2019年第7期108-110,118,共4页China Medicine And Pharmacy

摘　　要：目的探讨三种不同胃管固定方法对腹部手术患者术后非计划性拔管的影响。方法选取我院2016年1月～2017年12月收治的腹部手术后常规给予术前留置胃管的患者共180例,依据随机数字表法将患者分为A、B、C三组,各60例。A组患者接受人型胃管固定法,B组患者接受双T型胃管固定法,C组接受改良式双T型胃管固定法。比较三组患者腹部手术后胃管非计划性拔管滑脱率、移位率、胃管有效固定时间等指标。结果 A组患者胃管滑脱率及移位率分别为35.00%,38.33%。B组患者胃管滑脱率及移位率分别为28.33%,26.67%。C组患者胃管滑脱率及移位率分别为8.33%,6.67%。三组患者胃管滑脱率、移位率比较差异有统计学意义(χ~2=126.729,128.367,P <0.05)。两组之间比较,C组胃管滑脱率、移位率显著低于A组、B组(χ~2=12.570,8.015,P <0.05),胃管有效固定时间显著长于A组、B组,P <0.05。结论改良式双T型胃管固定法在腹部手术患者胃管插管中使用效果更好,胃管滑脱率、移位率较传统固定法低,且有效固定时间长,操作简单易行,值得临床推广运用。Objective To explore the effects of three different gastric tube fixation methods on postoperative unplanned extubation in patients undergoing abdominal surgery. Methods 180 patients who were treated and routinely given preoperative gastric tube indwelling after abdominal surgery in our hospital from January 2016 to December 2017 were selected. According to the random number table method, they were divided into group A, group B and group C, with 60 cases in every group. Patients in group A were given human-shape gastric tube fixation, patients in group B were given double T-shaped gastric tube fixation and patients in group C were given modified double T-shaped gastric tube fixation.The slipping rate, displacement rate and effective fixation time of gastric tube of preoperative unplanned extubation in patients undergoing abdominal surgery in three groups were compared. Results The slipping rate and displacement rate of gastric tube of group A were respectively 35.00% and 38.33%, those of group B were respectively 28.33% and26.67% and those of group C were respectively 8.33% and 6.67%. The differences in the slipping rate and displacement rate of gastric tube among three groups were statistically significant(χ^2=126.729,128.367, P < 0.05). The slipping rate and displacement rate of gastric tube ofgroup Cwere significantly lower than those of group A and group B in comparison of two groups(χ^2=12.570,8.015, P < 0.05). The effective fixation time of gastric tube of group C was significantly longer than that of group A and group B, P < 0.05. Conclusion Modified double T-shaped gastric tube fixation has better application effects in gastric tube intubation of patients undergoing abdominal surgery. The slipping rate and displacement rate of gastric tube are lower than those of the traditional method, and the effective fixation time is longer. It is simple and easy to operate,which is worthy of clinical promotion and application.

关 键 词：胃管固定方法 胃管 腹部手术 非计划性拔管 前瞻性试验 

分 类 号：R656[医药卫生—外科学]