吞咽石蜡油置胃管法的临床有效性研究  

Research on clinical efficacy of setting gastric tube after swallowing paraffin oil

作　　者：夏秋燕[1] XIA Qiuyan(First Department of General Surgery,Jiujiang First People's Hospital in Jiangxi Province,Jiujiang332000,China)

机构地区：[1]江西省九江市第一人民医院普外一科,江西九江332000

出　　处：《中国现代医生》2020年第16期176-178,183,共4页China Modern Doctor

基　　金：江西省卫生计生委科技计划相关课题(20177094)。

摘　　要：目的探讨吞咽石蜡油置胃管法的临床有效性研究。方法选择2019年1~11月进行治疗的患者90例作为对象,随机数字表分为对照组(n=45)和观察组(n=45)。对照组给予常规经鼻置胃管,观察组采用吞咽石蜡油置胃管法,比较两组患者的置管效果以及置管后不良并发症。结果观察组患者一次成功置管的例数显著高于对照组(P<0.05)。观察组患者置管过程中恶心、置管过程中呕吐的情况显著低于对照组(P<0.05)。观察组患者出现咽喉不适症状、声带沙哑症状、食道出血症状及鼻腔出血症状的情况显著低于对照组(P<0.05)。结论使用吞咽石蜡油置胃管法,有助于提高患者的置管成功率并减少了并发症,值得推广应用。Objective To explore the clinical efficacy of setting gastric tube after swallowing paraffin oil.Methods Ninety patients treated from January 2019 to November 2019 were selected as research subjects and were divided into the control group(n=45)and the observation group(n=45)by the random number table.Routine transnasal gastric catheterization was given to the control group,and the observation group adopted the method of setting gastric tube after swallowing paraffin oil.The catheterization effect and adverse complications after catheterization in the two groups were compared.Results The number of successful catheterization in one time in the observation group was significantly higher than that in the control group(P<0.05).The incidences of nausea and vomiting during the catheterization in the observation group were significantly lower than those in the control group(P<0.05).The incidences of laryngeal discomfort,hoarseness,esophageal bleeding and nasal bleeding in the observation group were significantly lower than those in the control group(P<0.05).Conclusion The method of setting gastric tube after swallowing paraffin oil can improve the success rate of catheterization and reduce complications,which is worthy of popularization and application.

关 键 词：吞咽石蜡油置胃管法 常规经鼻置胃管 置管成功率 不良症状 临床应用 

分 类 号：R473[医药卫生—护理学]