气管导管固定器用于药物中毒后洗胃的效果及学习曲线分析  

Effect and learning curve analysis of endotracheal tube fixator for gastric lavage after drug poisoning

作　　者：张亚丽 管佳慧 杜佩红 ZHANG Ya-li;GUAN Jia-hui;DU Pei-hong(Department of Emergency Medicine,The Sixth People′s Hospital Affiliated to Shanghai Jiaotong University,Shanghai 200233,China)

机构地区：[1]上海市交通大学附属第六人民医院急诊医学科,上海200233

出　　处：《实用医院临床杂志》2022年第6期82-84,共3页Practical Journal of Clinical Medicine

基　　金：上海市第六人民医院院级科学研究基金资助项目(编号:院内-2517)。

摘　　要：目的 探讨气管导管固定器用于药物中毒后洗胃的效果,并进行学习曲线分析。方法 将我院2021年1~8月采用传统胃管固定急诊洗胃的50例药物中毒患者设为对照组,2021年9月至2022年5月采用气管导管固定器急诊洗胃的50例药物中毒患者设为观察组。比较两组不良反应发生率、洗胃需配合人数以及洗胃时间;计算累积和,绘制学习曲线,掌握气管导管固定器所需要的最少操作例数。结果 研究组患者口腔内相关损伤、胃管移位发生率低于对照组(P<0.05),两组误吸发生率比较差异无统计学意义(P>0.05);观察组洗胃需配合人数、洗胃用时均少于对照组(P<0.05);观察组首次置管成功率为90.00%(45/50),对照组为82.00%(41/50),两组比较差异无统计学意义(P>0.05);学习曲线分析显示K=0时,对应的操作例数为19例。结论 气管导管固定器用于药物中毒后洗胃的效果显著,能有效降低患者口腔内相关损伤、胃管移位发生率,减少洗胃需配合人数及洗胃用时,且学习曲线短。Objective To investigate the effect of endotracheal tube fixator on gastric lavage after drug poisoning, and to analyze the learning curve.Methods From January to August 2021, 50 patients with drug poisoning who underwent emergency gastric lavage with traditional gastric tube fixation in our hospital were set as a control group. Another 50 patients with drug poisoning who underwent emergency gastric lavage with endotracheal tube fixation from September 2021 to May 2022 were selected as an observation group. The incidence of adverse reactions, the number of people who need to cooperate with gastric lavage and the time of gastric lavage were compared between the two groups. The cumulative sum was calculated, the learning curve was drawn, and the minimum number of operations required to master the endotracheal tube fixator was calculated.Results The incidence rates of oral-related injury and gastric tube displacement in the observation group were lower than those in the control group(P<0.05). There was no significant difference in the incidence of aspiration between the two groups(P>0.05). The number of people who need to cooperate with gastric lavage and the time for gastric lavage in the observation group were less than those in the control group(P<0.05). The success rate of the first catheter placement was 90.00%(45/50) in the observation group and 82.00%(41/50) in the control group, and there was no significant difference between the two groups(P>0.05). Learning curve analysis showed that when K = 0, the corresponding number of operation cases was 19 cases.Conclusions The endotracheal tube fixator has a significant effect on gastric lavage after drug poisoning. It can effectively reduce the incidence of oral-related injury and gastric tube displacement in the patients, decrease the number of people who need to cooperate with gastric lavage and the time required for gastric lavage. It has a short learning curve.

关 键 词：气管导管固定 洗胃 药物中毒 胃管固定 

分 类 号：R472.2[医药卫生—急诊医学]