CAJ | 학술논문

目的探讨改良后的胃管固定法在留置胃管的脑卒中患者中的应用效果观察.方法将2009年1月-2011年6月本科室收治的587例留置胃管的脑卒中患者,随机分为对照组293例与实验组294例,对照组患者采用传统的胶布或胶管寸带固定法,实验组采用一次性输液管打结环绕固定法.观察两组患者的舒适清洁度、管道脱落率、成本消耗、操作时间及皮肤受损发生率.结果两组各项指标比较,均P＜ 0.05,差异具有统计学意义,实验组患者舒适清洁度高于对照组,管道脱落率、成本消耗、操作时间及皮肤受损发生率均低于对照组.结论新的固定方法固定更为牢固、取材方便、美观、简单易行、舒适清洁、管道脱落少、节省操作时间用成本,值得临床推广.
목적 탐토개량후적위관고정법재류치위관적뇌졸중환자중적응용효과관찰.방법 장2009년1월-2011년6월본과실수치적587례류치위관적뇌졸중환자,수궤분위대조조293례여실험조294례,대조조환자채용전통적효포혹효관촌대고정법,실험조채용일차성수액관타결배요고정법.관찰량조환자적서괄청길도、관도탈락솔、성본소모、조작시간급피부수손발생솔.결과 량조각항지표비교,균P＜ 0.05,차이구유통계학의의,실험조환자서괄청길도고우대조조,관도탈락솔、성본소모、조작시간급피부수손발생솔균저우대조조.결론 신적고정방법고정경위뢰고、취재방편、미관、간단역행、서괄청길、관도탈락소、절성조작시간용성본,치득림상추엄.
Objective To explore the effect of applying improved stomach tube fixation on stroke patients.Methods Randomly divided 587 stomach tube retention patients received and cured in our department from January,2009 to June,2011 into two groups:the control group with 293 cases and the experimental group with 294 cases.The control group were treated with traditional fixation of medical tapes or rubber tubes and straps,while the experimental group were treated with disposable transfer line knotting fixation.Observation is made on comfort,cleanness,the rate of dropping,cost,operation time,and incidence of skin damage.Results There was statistical difference between the two groups ? indicators (P＜0.05).The experimental group had a higher degree of comfort,lower rate of dropping,lower cost,less operation time,and lower incidence of skin damage than the control group.Conclusion The new approach of fixation is more secure,more available,pleasing to the eye,simple,practicable,comfortable,clean,time-saving,has lower rate of dropping,and cost less.The new approach should be widely used.