CAJ | 학술논문

目的探讨留置胃管固定的最佳方法.方法将240例留置胃管的患者随机分为ABC三组,A组采用免粘环绕固定法,B组采用胶带加棉质系带双重固定法,C组采用单纯用胶带于鼻翼及颊部固定法,观察三组患者胃管脱出率、胶带粘贴处皮肤情况及合并鼻咽部炎症等方面的差异.结果 A组固定法效果最好,胃管脱出例数为0,无皮肤过敏,鼻咽部炎症发生率为20%,B组固定法胃管脱出率为10%,鼻咽部炎症平均发生率为58.8%,C组固定法固定效果差,胃管脱出率为17.2%,鼻咽部炎症平均发生率为70%,B、C两种固定方法均有皮肤过敏现象,皮肤瘙痒率分别为11.3%和13.8%.结论采用免粘环绕固定法可以杜绝胃管脱出,减少皮肤过敏率以及咽部炎症发生率.
목적 탐토류치위관고정적최가방법.방법 장240례류치위관적환자수궤분위ABC삼조,A조채용면점배요고정법,B조채용효대가면질계대쌍중고정법,C조채용단순용효대우비익급협부고정법,관찰삼조환자위관탈출솔、효대점첩처피부정황급합병비인부염증등방면적차이.결과 A조고정법효과최호,위관탈출례수위0,무피부과민,비인부염증발생솔위20%,B조고정법위관탈출솔위10%,비인부염증평균발생솔위58.8%,C조고정법고정효과차,위관탈출솔위17.2%,비인부염증평균발생솔위70%,B、C량충고정방법균유피부과민현상,피부소양솔분별위11.3%화13.8%.결론 채용면점배요고정법가이두절위관탈출,감소피부과민솔이급인부염증발생솔.
Objective To investigate the optimal method of fixing indwelling nasogstric tube.Methods The patients with indwelling nasogastric tube totaled 240 cases were randomly divided by non-stick girdled method (Group A), tape and cotton double fixation ( Group B) or ordinary tape (Group C) .The rate of nasogastric tube prolapse, skin allergy and nasopharyngits were observed to compared among three groups.Results For group A, no nasogastric tube prolapse and no skin allergy, whereas the rate of nasopharyngitis occurrence was 20%.The nasogastric tube prolapse and nasopharyngitis occurrence rate of group B were 10% and 58.8% separately.The efficiency of group C was poor, 17.2% patients had nasogastric tube prolapse.In group B and C skin allergy occurred, the rate of skin itch was 11.3% and 13.8% separately.Conclusiion Non-stick girdled fixation method can prevent nasogastric tube prolapse, reduce the rate of skin allergy and nasopharyngitis occurrence.