慢性阻塞性肺疾病急性加重期患者留置胃管配合应用外封接头的临床效果  

Clinical Effect of Indwelling Gastric Tube Combined With External Sealing Joint in Patients With Acute Exacerbation of Chronic Obstructive Pulmonary Disease

作　　者：郑宝聪 庄端端 洪珊珊 刘利敏[1] 鲁秋香 陈惠伶 Zheng Baocong;Zhuang Duanduan;Hong Shanshan;Liu Limin;Lu Qiuxiang;Chen Huiling(Department of Respiratory Medicine,The 910th Hospital of Chinese People's Liberation Army Joint Logistic Support Force,Quanzhou Fujian 362000,China)

机构地区：[1]中国人民解放军联勤保障部队第九一〇医院呼吸内科,福建泉州362000

出　　处：《医疗装备》2022年第23期136-139,共4页Medical Equipment

摘　　要：目的分析慢性阻塞性肺疾病(COPD)急性加重期患者留置胃管配合应用外封接头的优势。方法将2022年1—5月医院呼吸内科收治的64例COPD急性加重期患者采用随机数字表法均分为对照组和观察组,每组32例,对照组实施常规留置胃管,观察组实施留置胃管配合应用外封接头,比较两组护理前后营养状况、生命质量,外溢、误吸、呕吐等不良事件发生率。结果护理后相比护理前,两组血红蛋白、前白蛋白水平及生命质量量表(QLQ-C30)评分均升高转铁蛋白水平降低,差异有统计学意义(P<0.05)。护理后比较,观察组血红蛋白、前白蛋白水平均高于对照组,而转铁蛋白水平低于对照组,观察组QLQ-C30中情绪功能、躯体功能评分均高于对照组,差异均有统计学意义(P<0.05)。对照组不良事件发生率高于观察组,但差异无统计学意义(P>0.05)。结论COPD急性加重期患者留置胃管时应用改进外封接头有助于改善患者营养状况,情绪与躯体功能亦相对更好,其使用安全性尚需大样本研究进行探究。Objective The advantages of using external sealing joint in combination with gastric tube indwelling during nutritional support for patients with chronic obstructive pulmonary disease(COPD)diagnosed in acute exacerbation were analyzed.Methods With 64 patients with acute exacerbation of COPD admitted to the Department of Respiratory Medicine of the hospital from January to May 2022 randomly and equally divided into control group and observation group,there were 32 cases in each group.With the control group treated with routine indwelling gastric tube,and the observation group treated with indwelling gastric tube combined with external sealing joint,the nutritional status,quality of life,and incidence of adverse events such as spillover,aspiration and vomiting were compared between the two groups before and after nursing.Results After nursing,the level of hemoglobin and prealbumin elevated compared with that before nursing,and the score of quality of life scale(QLQ-C30)increased(P<0.05).After 7 days of nursing,the levels of hemoglobin and prealbumin in the observation group was higher than those in the control group,while the content of transferrin was lower than that in the control group.In addition,the emotional function and physical function of the patients in the observation group were higher than those in the control group for QLQ-C30,and the differences were statistically significant(P<0.05).The incidence of adverse events in the control group was higher than that in the observation group,with no significant difference(P>0.05).Conclusions The application of improved external sealing joint in indwelling gastric tube for patients with acute exacerbation of COPD helps to improve the nutritional status of patients,with relatively better emotional and physical functions.The safety of its use still needs to be explored in large sample studies.

关 键 词：慢性阻塞性肺疾病急性加重期 留置胃管 外封接头 

分 类 号：R563.9[医药卫生—呼吸系统]