摘要
目的:比较3种固定鼻胃管方法的临床效果。方法:回顾分析我科2012年3月-2012年12月收治并留置鼻胃管患者180人,按不同的固定方法随机分为传统组、改进Ⅰ组、改进Ⅱ组各60例,观察Ⅲ组患者鼻胃管脱出发生率、固定部位皮肤破损率、更换鼻胃管平均时间。结果:传统组、改进Ⅰ组与改进Ⅱ组鼻胃管脱出发生率分别为42.7%、23.5%和8.3%;固定部位皮肤破损率分别为30.0%、21.7%和23.3%;更换鼻胃管平均时间分别为20秒、75秒和95秒,Ⅲ组间存在的差异有统计学意义(P<0.05)。结论:采用胶布加棉质系带双重固定鼻胃管比单纯采用胶布及单纯棉质系带固定的方法可大大减少鼻胃管脱出率,固定部位皮肤破损率也低于单纯采用胶布固定,虽然更换鼻胃管平均时间较其他两种方法长,不影响提高鼻胃管护理质量,减少不良事件发生。
Objective：To evaluate the effect three gastric tube placement methods in clinical value.Methods： Between Mar 2012 and Dec 2012, we have performed 180 patientse.Were randomly divided into three groups,the traditional group,improved groupl,improved group2 had 60 patients respective. Three groups were observed in patients with gastric tube extrusion rate, fixed parts of skin damage rate, and average time of gastric tube replacement.Result：The traditional group, improved groupland improved group2 gastric tube extrusion rates were 42.7%, 23.5% and 8.3%; the fixed position of skin damage rates were 30%, 21.7% and 23.3%; the average time of the gastric tube replacement were 20,75,and 95 seconds, there are significant differences exist between the three groups （P〈0.05）.Canclusion：The rubberized fabric and cotton ~enulum fixed gastric tube compared with tape and pure cotton lace fixed method can greatly reduce the gastric tube extrusion rate, fixed skin breakage rate is also lower than the simple use of adhesive tape fixed, while the average time of the gastric tube replacement than the other two methods of long, does not affect the quality of care improved gastric tube, reduce adverse events.
出处
《内蒙古中医药》
2013年第31期6-7,共2页
Inner Mongolia Journal of Traditional Chinese Medicine
关键词
鼻胃管固定
效果
评价
gastric tube placement
effect
evaluate
