CAJ | 학술논문

目的探讨昏迷患者通过呼吸进行胃管留置,以提高患者护理质量及提高护理人员操作技术.方法将入住我科80例昏迷患者随机分为实验组40例和对照组40例,实验组采用呼吸方法进行胃管留置,对照组采用吞咽方法进行留置胃管.结果两组患者留置胃管后恶心呕吐x2=4.5；一次成功率x2=13.09;食管损伤x2=6.27.实验组成功率明显优于对照组,不良反应明显下降,差异有统计学意义(P＜0.05)；结论昏迷患者通过呼吸观察进行胃管留置能提高一次成功率,减少患者不良反应,提高护理人员技术含量.
목적 탐토혼미환자통과호흡진행위관류치,이제고환자호리질량급제고호리인원조작기술.방법 장입주아과80례혼미환자수궤분위실험조40례화대조조40례,실험조채용호흡방법진행위관류치,대조조채용탄인방법진행류치위관.결과 량조환자류치위관후악심구토x2=4.5；일차성공솔x2=13.09;식관손상x2=6.27.실험조성공솔명현우우대조조,불량반응명현하강,차이유통계학의의(P＜0.05)；결론 혼미환자통과호흡관찰진행위관류치능제고일차성공솔,감소환자불량반응,제고호리인원기술함량.
Objective To explore gastric indwelling through breath for patients in coma and to improve the nursing care quality and the nursing staff's operation skill.Methods 80 coma patients in our department were randomly divided into experimental group and control group,40 for each group.The experimental group were indwell gastric tube with breathing method,and the control group with swallowing method.Results After gastric tube dwelling,fewer patients occurred nausea and vomiting and esophageal damage (x 2=4.5,x 2=6.27),the one-time successful rate was higher (x2=13.09),and the incidence of adverse reaction was lower in the experimental group than in the control group,with significant differences (P ＜ 0.05).Conclusions Gastric tube indwelling through breathing observation for coma patients can improve one-time successful rate,reduce patients' adverse reaction,and improve nursing staff's skill.