摘要
目的 :减轻肠梗阻病人的身心痛苦 ,提高一次拔除胃管成功率。方法 :将 40例肠梗阻病人随机分为胃液量组 (GV)和胆汁反流组 (BR) ,每组 2 0例。GV组按常规在每日胃液量 <40 0ml时拔除胃管 ;BR组监测胃液中胆红素水平 ,当其 <+时拔管。比较两组置管天数和一次拔管成功率。结果 :两组胃管放置天数未见差异 ,BR组一次拔管成功率明显高于GV组 (χ2 =5 .6 2 5 ,P <0 .0 5 )。结论 :利用胃液常规监测肠梗阻病人胃液中胆红素水平、判断拔管时机的办法简便可靠 ,具有临床实用价值。
Objective: To relieve the patients distress involved by the nasogastric tube and improve the successful extubation at one time.Methods: Forty patients with intestinal obstruction were collected and were divided into the gastric volume(GV) and bilirubin reflux(BR) groups randomly. Each group consists of 20 members,the GV group extubated the nasogastric tube when the gastric volume decrease than 400ml daily, the BR group extubated tube as the bilirubin in gastric juice lower than +.The results of extubation in two groups were observed.Results:There is no difference in terms of the time of tube placement between two groups.The successful extubation rate in the BR group is higher than that in the GV group (χ2=5.625,P<0.05).Conclutions:By monitoring the bilirubin level in gastric juice,the nasogastric tube extubation time of the patients with intestinal obstruction could be decided conveniently and correctly.
出处
《中华护理杂志》
CSCD
北大核心
2003年第1期8-9,共2页
Chinese Journal of Nursing
关键词
胆汁反流
胃肠插管法
胃管拔除
病人
肠梗阻
Intestinal obstruction
Bile reflux
Gastric juice
Intubation,gastrointestinal
