摘要
目的研究神经内科留置胃管鼻饲匀浆食物的患者预防食物返流的有效护理措施。方法按患者留置胃管顺序的单双号，将80例患者随机分为观察组和对照组各40例，进行不同胃管型号、不同插管深度、不同体位的鼻饲对比观察，观察组采用一次性硅胶儿童12号胃管，插管深度55～65cm，抬高床头30～90度的方法鼻饲匀浆食物，对照组采用常规一次性硅胶成人16号胃管，插管深度45～55cm，平卧位或抬高床头30度以下方法鼻饲匀浆食物。结果观察组较对照组食物返流现象明显减少，经统计学处理有显著性差异（P〈0．01）。结论选择相对细的胃管，改进插管深度及鼻饲时的体位，能明显减少鼻饲匀浆食物患者的食物返流。避免了误吸性肺炎或窒息的危险，是鼻饲匀浆食物患者食物返流预见性护理的有效措施。
Objective To research into effective nursing intervention of predictic nursing in avoiding flowing back food stuff, that patients undergo nasal feeding homogenate food in Neuro Department. Methods According to simplex or even numbers of gastric tubes, 80 patients are divided into control group and observation group randomly. Different types , depth and positons of nasal feeding are observed. The observation group is treated with single used 12# gel silica gastric tubes with deth of 55 -65 era, lying on the bed with headstock in the 30 -90 dimension feeding nasogastridy homogenate eatables. Accordingly, 16# gastric tubes with depth of 45 - 55 cm and lying less than 30 dimension is employed in the control group. Results Flowing back in the observation group is obviously decreased. There is significant difference in statistical treatment （P 〈 0. 01 ） . Conclusion Using thinner gastric tubes, proper depth of eannula and lying positions are proved to inhibit backstreaming and avoid the aceuranee of aspirated pneumonia and asphyxia. Therefore, it is an effective nursing preventive treatment to flowing back.
出处
《国际护理学杂志》
2007年第11期1141-1143,共3页
international journal of nursing
关键词
留置胃管
鼻饲
匀浆食物
食物返流
预见性护理
Detaining gastric tubes
Nasal feeding
Homogonate food
Flowing back food stuff
Predietie nursing
