CAJ | 학술논문

目的探讨留置胃管长度对急性脑卒中合并吞咽困难患者预后的影响.方法将78例急性脑卒中合并吞咽困难患者随机分为观察组和对照组,每组39例.观察组患者插管长度55～65 cm,对照组采用传统的方法,插管长度45～55 cm.结果插管后3 d及1周时,观察组患者胃管脱出次数少于对照组,胃肠道并发症恶心、呕吐、误吸、腹胀、腹泻、上消化道出血少于对照组(P<0.05);观察组插管后2周吸人性肺炎发生率明显低于对照组,差异有统计学意义(P<0.05).结论观察组患者呕吐反流、误吸、腹胀、腹泻、上消化道出血等并发症明显降低;肺炎发生率明显降低.
목적 탐토류치위관장도대급성뇌졸중합병탄인곤난환자예후적영향.방법 장78례급성뇌졸중합병탄인곤난환자수궤분위관찰조화대조조,매조39례.관찰조환자삽관장도55～65 cm,대조조채용전통적방법,삽관장도45～55 cm.결과 삽관후3 d급1주시,관찰조환자위관탈출차수소우대조조,위장도병발증악심、구토、오흡、복창、복사、상소화도출혈소우대조조(P<0.05);관찰조삽관후2주흡인성폐염발생솔명현저우대조조,차이유통계학의의(P<0.05).결론 관찰조환자구토반류、오흡、복창、복사、상소화도출혈등병발증명현강저;폐염발생솔명현강저.
Objective To evaluate the affection of length of indwelling gastric tube in stroke patients with dysphagia.Methods 78 stroke patients with dysphagia were assigned into two groups randomly,39 cases in each group.tube length was 55-65 cm in observation group,45-55 cm in control group.Results 3 days and 1 week after intubation,the incidence rate of tube pulling out,gastrointestinal complications such as nausea and vomiting,aspiration,diarrhea and abdominal distension,upper gastrointestinal hemorrhage of observation group were lower than control group(P<0.05);2 weeks after intubation,the aspiration pneumonia ineidence of observation group Was lower than control group,the difference was statistically significant(P<0.05).Conclusions The incidence of vomiting,reflux,diarrhea and abdominal distension,upper gastrointesdnal hemorrhage,pneumonia decreased remarkablely.