| 陈庆玲.两种胃管固定方法在急诊洗胃中的应用[J].上海护理,2020,20(S1): |
| 两种胃管固定方法在急诊洗胃中的应用 |
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| DOI： |
| 中文关键词: 急诊洗胃 胃管固定 一次性牙垫 气管导管固定器 |
| 英文关键词:emergency gastric lavage gastric tube fixation syringe fixed gastric tube disposable mouth pad tracheal tube fixator |
| 基金项目:《集束化护理在急性有机磷中毒患者洗胃中的应用效果评价》 课题编号2019MHHL06 |
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| 中文摘要: |
| 目的 探讨急诊洗胃时牙垫+胶布组合固定法和气管导管固定器固定法的临床效果。方法 将200例本院自2017年8月至2019年8月期间收治的急诊洗胃患者按随机数字表法分为对照组和观察组,每组各100人。其中对照组采用牙垫+胶布组合固定法固定胃管,观察组采用气管导管固定器固定法固定胃管。比较两组采用不同胃管固定方法后不良反应发生率、洗胃需配合人数以及洗胃时间差异。结果 口腔内相关损伤和胃管移位等不良反应发生率方面,观察组均低于对照组,均具有显著差异(均P＜0.05)。误吸发生率方面,观察组(5.00%)显著低于对照组(12.00%),但无显著统计学差异(P＞0.05)。洗胃需配合人数上,观察组低于对照组,具有显著差异(P＜0.05)。洗胃时间上,对照组用时多于观察组,具有显著统计学差异(均P＜0.05)。结论 采用的气管导管固定器固定胃管法能显著降低洗胃过程不良反应发生率和洗胃需配合人数,具有较高的临床推广价值。 |
| 英文摘要: |
| Objective To investigate the clinical effect of the combined method of mouth pad + adhesive tape fixation and tracheal tube fixation in emergency gastric lavage. Methods 200 emergency gastric lavage patients admitted in our hospital from August 2017 to August 2019 were divided into control group and observation group according to the principle of randomization, with 100 people in each group. In the control group, the gastric tube was fixed with a combination of mouth pads and adhesive tape, and the observation group was fixed with a tracheal tube fixator. The two groups were compared for the incidence of adverse reactions, the number of gastric lavage patients and the time of gastric lavage after different gastric tube fixation methods. Results In the incidence of adverse reactions such as oral injury and gastric tube shift, the observation group was lower than the control group, and there were significant differences (both P <0.05). In terms of incidence of aspiration, the observation group (5.00%) was significantly lower than the control group (12.00%), but there was no significant statistical difference (P>0.05). The number of gastric lavage needs to be matched, the observation group is lower than the control group, there is a significant difference (P <0.05). In gastric lavage time, the control group spent more time than the observation group, with statistically significant differences (all P<0.05). Conclusion The tracheal tube fixation method used to fix the gastric tube can significantly reduce the incidence of adverse reactions during gastric lavage and the number of people who need to cooperate with gastric lavage, which has high clinical promotion value. |
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