摘要
目的探讨胃管插入速度对插管一次成功率及病人刺激等影响。方法将 84例病人随机分为缓速插管组和快速插管组 (各 4 2例 )。缓速插管从胃管插入鼻腔至胃内整个过程 15～ 2 0 s,平均每秒插入 2 .5～ 3.0 cm (按插入4 5～ 5 5 cm计算 ) ;快速插管整个过程为 8～ 10 s,平均每秒插入 5 .5～ 6 .0 cm。结果缓速插管组一次插管成功率为97.6 % ,快速插管组为 6 6 .7% ,两组比较 ,P<0 .0 0 1,差异有极显著性意义 ,缓速插管明显优于快速插管 ;病人反应痛苦及食管刺激症状发生率两组比较 ,P<0 .0 0 1,差异有极显著性意义 ,缓速插管组病人不良反应均低于快速插管组。结论对于神志清楚、与护士配合较好的病人宜用缓速插胃管法 ,以提高一次插管成功率 。
Objective To investigate the effects of gastric canal insertion speed on the successful rate of intubation and the patients' responses. Methods Eighty four patients were randomly divided into two groups: slow gastric canal insertion group and quick gastric canal insertion group ( n =42 each). In the slow gastric canal insertion group, the gastric canal from nasal cavity to stomach lasted 15 20 s with the speed of 2 5 3 0 cm per second (calculated in accordance with 45 to 55 cm long). In the quick gastric canal insertion group, the whole procedure lasted 8 to 10 s with the speed of 5.5 to 6.0 cm per second.Results The successful rate in the slow gastric canal insertion group was 97 6%, while that in the quick gastric canal insertion group 66 7% with the difference being very significant between the two groups ( P <0.001). Patients' painful response and esophageal stimulated symptoms in the slow gastric canal insertion group were milder than in the quick gastric canal insertion group ( P <0.001). The incidence of side responses in the slow gastric canal insertion group was lower than in the quick gastric canal insertion group. Conclusion For conscious patients or those with good cooperation with nurses, it is recommended to use slow gastric canal intubation to increase the successful rate and decrease the occurrence of side responses.
出处
《护理学杂志（综合版）》
2002年第3期163-165,共3页
Journal of Nursing Science
