中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
29期
91-93
,共3页
张锦莲%张柳华%杨璐晖%曾芝云
張錦蓮%張柳華%楊璐暉%曾芝雲
장금련%장류화%양로휘%증지운
胃肠减压%金霉素%护理%舒适度
胃腸減壓%金黴素%護理%舒適度
위장감압%금매소%호리%서괄도
Gastroenteric decompression%Chlorotetracycline%Nursing care%Degree of comfort
目的：探讨金霉素眼膏鼻腔局部用药对胃肠减压患者鼻咽部舒适度的影响。方法：选取2012年7月-2013年10月本科留置胃肠减压管的182例患者，按照随机数字表法将其分为对照组90例和干预组92例。对照组按常规要求进行口腔护理、漱口液漱口、生理盐水棉签清洁鼻腔；干预组在对照组的基础上使用金霉素眼膏在插胃管侧鼻腔局部用药。比较两组患者鼻咽部舒适度及患者对胃管的接受程度。结果：干预组的鼻咽部不适发生率67.40%（62/92）明显低于对照组的96.67%（87/90），对胃管接受程度明显高于对照组，差异均有统计学意义（P<0.01）。结论：胃肠减压患者采用金霉素眼膏鼻腔局部用药可减轻鼻咽部不适，增加患者对胃管的接受程度，提高患者舒适度与治疗依从性，值得临床推广。
目的：探討金黴素眼膏鼻腔跼部用藥對胃腸減壓患者鼻嚥部舒適度的影響。方法：選取2012年7月-2013年10月本科留置胃腸減壓管的182例患者，按照隨機數字錶法將其分為對照組90例和榦預組92例。對照組按常規要求進行口腔護理、漱口液漱口、生理鹽水棉籤清潔鼻腔；榦預組在對照組的基礎上使用金黴素眼膏在插胃管側鼻腔跼部用藥。比較兩組患者鼻嚥部舒適度及患者對胃管的接受程度。結果：榦預組的鼻嚥部不適髮生率67.40%（62/92）明顯低于對照組的96.67%（87/90），對胃管接受程度明顯高于對照組，差異均有統計學意義（P<0.01）。結論：胃腸減壓患者採用金黴素眼膏鼻腔跼部用藥可減輕鼻嚥部不適，增加患者對胃管的接受程度，提高患者舒適度與治療依從性，值得臨床推廣。
목적：탐토금매소안고비강국부용약대위장감압환자비인부서괄도적영향。방법：선취2012년7월-2013년10월본과류치위장감압관적182례환자，안조수궤수자표법장기분위대조조90례화간예조92례。대조조안상규요구진행구강호리、수구액수구、생리염수면첨청길비강；간예조재대조조적기출상사용금매소안고재삽위관측비강국부용약。비교량조환자비인부서괄도급환자대위관적접수정도。결과：간예조적비인부불괄발생솔67.40%（62/92）명현저우대조조적96.67%（87/90），대위관접수정도명현고우대조조，차이균유통계학의의（P<0.01）。결론：위장감압환자채용금매소안고비강국부용약가감경비인부불괄，증가환자대위관적접수정도，제고환자서괄도여치료의종성，치득림상추엄。
Objective:To investigate the effect of chlorotetracycline eye ointment on nasopharyngeal comfort of patients with gastroenteric decompression.Method:182 patients with indwelling gastrointestinal decompression tube in our department from July 2012 to October 2013 were selected,they were divided into the control group for 90 cases and the intervention group for 92 cases according to the random number table method.The control group was treated with routine requirements including oral care,gargling with collutory,blowing the nasal with normal saline cotton stick,while the intervention group was treated with chlorotetracycline eye ointment in the local administration of a gastric tube side nasal cavity.The degree of comfort of pars nasalis pharyngis and the acceptance of stomach tube of two groups were compared. Result:The nasopharyngeal discomfort incidence of intervention group was 67.40%(62/92),it was significantly lower than 96.67%(87/90)of control group,the acceptance of stomach tube in intervention group was significantly higher than the control group,the differences were statistically significant(P<0.01).Conclusion:Topically treatment of chlorotetracycline eye ointment to patients with gastroenteric decompression can reduce the discomfort of pars nasalis pharyngis,increase the patients’acceptance of the stomach tube,improve degree of comfort and compliance of treatment,is worthy of clinical promotion.
