不同长度留置胃管对脑卒中吞咽困难患者的影响  

Effect of different length indentation of gastric tube on dysphagia in stroke patients

作　　者：周嫦 李天 刘爱娣 林素涵 ZHOU Chang;LI Tian;LIU Aidi;LIN Suhan(Department of Emergency,Wenzhou Central Hospital,Zhejiang Province,Wenzhou325000,China)

机构地区：[1]浙江省温州市中心医院急诊科,浙江温州325000

出　　处：《中国医药导报》2023年第33期175-178,共4页China Medical Herald

基　　金：浙江省基础公益研究计划项目(LGD22H090014);浙江省温州市基础性医疗卫生科技项目(Y2020632)。

摘　　要：目的 探讨不同长度留置胃管对吞咽困难脑卒中患者的影响。方法选取2021年2月至2023年2月浙江省温州市中心医院收治的需留置胃管的脑卒中合并吞咽困难患者100例为研究对象,采用随机数字表法将其分为对照组和观察组,各50例。对照组按传统量定方式进行置管,观察组在传统置管长度基础上增加10 cm。比较两组置管前后心率(HR)、呼吸(R)、经皮动脉血氧饱和度(SpO_(2))、平均动脉血压(MAP)变化,比较两组一次性置管成功率、不良反应发生率和误吸次数。结果置管后,两组HR、R比较,差异无统计学意义(P>0.05)。置管后,SpO2、MAP均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组SpO2和MAP水平高于对照组,差异有统计学意义(P<0.05)。两组一次性置管成功率、不良反应发生率、不同误吸次数患者占比比较,差异无统计学意义(P>0.05)。结论脑卒中合并吞咽困难患者在传统留置胃管长度的基础上增加10 cm,对一次性置管成功率等指标无影响,且利于患者SpO2、MAP指标的恢复。Objective To investigate the effect of different length indentation of gastric tube on stroke patients with dysphagia.Methods A total of 100 patients with stroke complicated with dysphagia requiring gastric catheterization admitted to Wenzhou Central Hospital of Zhejiang Province from February 2021 to February 2023 were selected as the study objects,and they were divided into control group and observation group by random number table method,with 50 cases in each group.The control group was placed according to the traditional measuring method,and the observation group was increased by 10 cm on the basis of the traditional catheterization.The changes of heart rate(HR),respiration(R),percutaneous arterial oxygen saturation(SpO_(2)),and mean arterial blood pressure(MAP)before and after catheterization were compared between the two groups,and the success rate of one-time catheterization,incidence of adverse reactions,and aspiration times were compared between the two groups.Results After catheterization,there were no significant differences in HR and R between the two groups(P>0.05).After catheterization,SpO2 and MAP were higher than those before treatment,and those of observation group were higher than those of control group,the differences were statistically significant(P<0.05).There was no significant difference in the success rate of one-time catheterization,the incidence of adverse reactions,and the proportion of patients with different aspiration times between the two groups(P>0.05).Conclusion In patients with stroke complicated with dysphagia,an increase of 10 cm on the basis of traditional indenture gastric tube length has no effect on the success rate of one-time catheterization and other indicators,and is beneficial to the recovery of SpO2 and MAP indicators of patients.

关 键 词：留置胃管长度 吞咽困难 脑卒中 呼气末二氧化碳监测 

分 类 号：R473[医药卫生—护理学]