改良法测量胃管留置长度对脑卒中患者胃内残留量监测的影响  

Effect of improved method for measuring the length of gastric tube indwelling on the monitoring of gastric residue in patients with stroke

作　　者：田鹤 张路 TIAN He;ZHANG Lu(Department of Tumor Neurosurgery,the Second People′s Hospital of Shenzhen City,Guangdong Province,Shenzhen518000,China)

机构地区：[1]深圳市第二人民医院肿瘤神经外科,广东深圳518000

出　　处：《中国当代医药》2020年第18期59-62,共4页China Modern Medicine

摘　　要：目的 研究改良法测量胃管留置长度对脑卒中患者胃内残留量监测的影响.方法 回顾性分析2017年5月~2019年5月我院收治的经鼻胃管进行肠内营养的100例脑卒中患者的临床资料,按照胃管留置长度的不同,将其分为对照组和实验组,每组各50例.对照组患者使用传统法测量胃管留置长度,实验组患者使用改良法测量胃管留置长度.比较两组各身高阶段(身高<160、160~170及>170 cm)患者的留置胃管长度,比较两组患者的反流、呛咳及误吸发生情况,比较两组患者的胃内残留量监测情况.结果 实验组各身高阶段患者的留置胃管长度长于对照组,差异有统计学意义(P<0.05);实验组患者的误吸、呛咳、反流发生率均低于对照组,差异有统计学意义(P<0.05);实验组患者第9、10天的胃内残留量均低于本组第2天,实验组患者第2、3、9、10天的胃内残留量均高于对照组,差异有统计学意义(P<0.05).结论 改良法测量胃管留置长度,可准确地检测患者的胃内残留量,降低误吸、呛咳、反流的发生率.Objective To study the effect of improved method for measuring the length of gastric tube indwelling on the monitoring of gastric residue in patients with stroke.Methods The clinical data of 100 patients with stroke admitted to our hospital from May 2017 to May 2019 who underwent enteral nutrition through nasogastric tube were retrospectively analyzed.According to the different length of gastric tube indwelling,the patients were divided into control group and experimental group,with 50 patients in each group.The control group used the traditional method to measure the length of gastric tube indwelling,and the experimental group used the modified method to measure the length of gastric tube indwelling.The lengths of indwelling gastric tube in each height segment(height<160,160-170 and>170 cm)were compared between the two groups of patients.The incidence rates of reflux,cough and aspiration were compared between the two groups.Gastric residue monitoring was compared between the two groups.Results The lengths of indwelling gastric tube in the experimental group of patients in each height segment were longer than those in the control group,and the differences were statistically significant(P<0.05).The incidence rates of aspiration,cough and reflux in the experimental group were lower than those in the control group,with statistically significant differences(P<0.05).The gastric residual amount on the 9th,and 10th days of the experimental group were lower than those on the 2nd day,and the gastric residual amount on the 2nd,3rd,9th,and 10th days of the experimental group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion The improved method for measuring the length of indwelling gastric tube can accurately detect the residual amount in the stomach and reduce the incidence of aspiration,cough and reflux.

关 键 词：改良法 测量 胃管留置长度 脑卒中 胃内残留量 

分 类 号：R473.5[医药卫生—护理学]