摘要
目的探讨经鼻下咽腔留置吸痰管在高龄吞咽障碍并长期留置胃管患者中的应用效果。方法将2003年6月—2009年10月30例高龄吞咽障碍并长期留置胃管患者,随机分为观察组和对照组各15例,对照组常规每天按需数次经口腔或者鼻腔插入吸痰管吸出口鼻分泌物,观察组经鼻下咽腔留置吸痰管,每小时吸痰1次,若分泌物多随时吸出。观察两组患者黏膜损伤、吸出时间、肺部感染发生率,并进行比较。结果观察组患者黏膜损伤、肺部感染发生率较对照组低,吸出时间优于对照组,差异有统计学意义(P<0.05)。结论对于高龄吞咽障碍并长期留置胃管患者经鼻下咽腔留置吸痰管简单易行、效果肯定,值得临床推广应用。
Objective To study the effect of reserving sputum tube in aged patients indwelling gastric tube with deglutition disorders.Methods Aged patients indwelling gastric tube with deglutition disorders were divided two groups：experimental group（patients with sputum tube reserved） and control group（patients with routine aspiration of sputum）.Injuries of tracheal mucosa,pulmonary infection,time of aspiration and effect of aspiration were observed and analyzed.Results The results in control group were inferior to those in experimental group and with statistical significance（P0.05）.Conclusion In aged patients indwelling gastric tube with deglutition disorders,reserving sputum tube per nasal is a simple and well-repeated method with good feasibility and clinical effect.
出处
《护理学报》
2011年第1期36-37,共2页
Journal of Nursing（China）
关键词
高龄患者
吞咽障碍
留置胃管
留置吸痰管
aged patients
deglutition disorders
indwelling gastric tube
indwelling sputum tube
