张力辅助置管法与主动送管法留置鼻肠管在机械通气患者中的应用  

Application of Tension-assisted Catheterization and Active Catheterization in Patients with Mechanical Ventilation

作　　者：谢如湖 杨连芳 陈楚雯 Xie Ruhu;Yang Lianfang;Chen Chuwen(ICU,Dongguan Eighth People's Hospital(Dongguan Children's Hospital),Dongguan 523321,Guangdong Province,China)

机构地区：[1]东莞市第八人民医院(东莞市儿童医院)ICU,广东东莞523321

出　　处：《中外医药研究》2023年第33期40-42,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨张力辅助置管法与主动送管法留置鼻肠管在机械通气患者中的应用效果。方法:选取2022年1月—2023年8月东莞市第八人民医院收治的机械通气患者77例作为研究对象,按照随机数字表法分为观察组(n=39,采用张力辅助置管法留置鼻肠管)和对照组(n=38,采用主动送管法留置鼻肠管)。比较两组患者一次性置管成功率、置管总耗时,置管前及置管中的心率、呼吸、血氧指标。结果:观察组患者一次性置管成功率高于对照组,置管总耗时短于对照组,差异有统计学意义(P<0.05);置管前,两组患者心率、呼吸、血氧比较,差异无统计学意义(P>0.05);置管中,两组患者心率、呼吸、血氧升高,观察组心率、呼吸低于对照组,血氧高于对照组,差异有统计学意义(P<0.05)。结论:张力辅助置管法在机械通气患者留置鼻肠管时表现出较高的一次性置管成功率和较短的置管总耗时,同时有助于维持更稳定的生命体征,可临床应用并予以推广。Objective:To investigate the effect of tension-assisted catheterization and active catheterization in patients with me-chanical ventilation.Methods:A total of seventy-seven patients with mechanical ventilation admitted to Dongguan Eighth Peo-ple's Hospital from January 2022 to August 2023 were selected as the study objects,and were divided into observation group(n=39,tension-assisted catheterization with nasoenteric tube indentation)and control group(n=38,active catheterization with na-soenteric tube indentation)according to random number table method.The success rate of one-time catheterization,total time of catheterization,heart rate,respiration and blood oxygen indexes before and during catheterization were compared between the two groups.Results:The success rate of one-time catheterization in observation group was higher than control group,and the total time of catheterization was shorter than control group,the difference was statistically significant(P<0.05);Before implantation,there was no significant difference in heart rate,respiration and blood oxygen between the two groups(P>0.05);The heart rate,respira-tion and blood oxygen of the two groups were increased during catheterization,and the heart rate and respiration of the observation group were lower than those of the control group,while the blood oxygen of the control group was higher,with statistical signifi-cance(P<0.05).Conclusion:Tension-assisted catheterization showed a higher one-time catheterization success rate and a shorter total catheterization time for nasal and intestinal catheterization in patients with mechanical ventilation,and helped maintain more stable vital signs,so it can be applied clinically.

关 键 词：机械通气 鼻肠管 张力辅助置管法 一次性置管成功率 置管总耗时 

分 类 号：R47[医药卫生—护理学]