摘要
目的探讨增加置管深度并抬高床头对预防老年鼻饲病人食物反流的效果。方法将 5 75例需鼻饲的卧床老年病人按鼻饲医嘱时间顺序及不平衡指数最小原则分成三组 ,分别给予教科书中的常规置管深度置管 (对照组 )、置管深度延长 10cm(观察 1组 )、置管深度延长 10cm并抬高床头 30～ 45°(观察 2组 )进行鼻饲。结果三组病人食物反流率比较 ,P <0 .0 1;观察 1、2组分别与对照组比较 ,P <0 .0 5、P <0 .0 1;观察 1组与观察 2组比较 ,P <0 .0 1。增加置管深度并抬高床头其食物反流率最低 ,仅增加置管深度次之 ,常规置管最高。结论增加置管深度并抬高床头可显著降低老年鼻饲病人食物反流发生率。
Objective To study the preventive effect of food reguigitation of old patients with nasal feeding by the method of extending the length of tube in esophagus and lifting the head of bed. Methods 575 oldt bedridden patients were randomly divided into 3 groups: the first group used the tube of fix length in textbood as control, the length of the tube which was used by the second group was 10 cm longer than the former, and the third group was just as the second group and lifted the head of a bed to an angle of 30-45°. Results There was significant difference in the rate of food reguigitation among the three groups (P<0.01): second group and third group vs control group, P<0.05,P<0.01; second group vs third group, P<0.01. The rate of food reguigitation in the third group was the lowest. Conclusion Extending the length of tube in esophagus and lifting the head of a bed can reduce the rate of food of reguigitation of old patients with nasal feeding.
出处
《护理学杂志（综合版）》
2003年第5期356-357,共2页
Journal of Nursing Science
关键词
老年人
病人
插管法
鼻饲
the elderly
patients
intubation, nasal feeding
