中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
35期
96-97
,共2页
可视喉镜%重症医学科%昏迷患者%胃管留置
可視喉鏡%重癥醫學科%昏迷患者%胃管留置
가시후경%중증의학과%혼미환자%위관류치
Video laryngoscope%Intensive care unit%Coma patients%Indwelling gastric tube
目的:探讨经可视喉镜胃管留置法在重症医学科昏迷患者中的应用价值。方法:选取60例需要留置胃管的昏迷患者,分成研究组和对照组,各30例,研究组应用可视喉镜引导胃管留置,对照组采用盲插法胃管留置,观察比较两组胃管留置的效果和并发症。结果:研究组胃管留置成功率96.7%(29/30),与对照组73.3%(22/30)相比较,差异有统计学意义(P<0.05);研究组胃管留置用时(6.8±1.6)min,与对照组(14.0±7.8)min相比较,差异有统计学意义(P<0.05);研究组置管过程中并发症发生率显著低于对照组(P<0.05);对照组困难置管8例重新经可视喉镜引导胃管留置均取得成功。结论:可视喉镜引导胃管留置法可提高重症昏迷患者胃管留置的成功率,缩短插管时间,减少并发症,尤其对于胃管留置困难患者具有较好的应用价值。
目的:探討經可視喉鏡胃管留置法在重癥醫學科昏迷患者中的應用價值。方法:選取60例需要留置胃管的昏迷患者,分成研究組和對照組,各30例,研究組應用可視喉鏡引導胃管留置,對照組採用盲插法胃管留置,觀察比較兩組胃管留置的效果和併髮癥。結果:研究組胃管留置成功率96.7%(29/30),與對照組73.3%(22/30)相比較,差異有統計學意義(P<0.05);研究組胃管留置用時(6.8±1.6)min,與對照組(14.0±7.8)min相比較,差異有統計學意義(P<0.05);研究組置管過程中併髮癥髮生率顯著低于對照組(P<0.05);對照組睏難置管8例重新經可視喉鏡引導胃管留置均取得成功。結論:可視喉鏡引導胃管留置法可提高重癥昏迷患者胃管留置的成功率,縮短插管時間,減少併髮癥,尤其對于胃管留置睏難患者具有較好的應用價值。
목적:탐토경가시후경위관류치법재중증의학과혼미환자중적응용개치。방법:선취60례수요류치위관적혼미환자,분성연구조화대조조,각30례,연구조응용가시후경인도위관류치,대조조채용맹삽법위관류치,관찰비교량조위관류치적효과화병발증。결과:연구조위관류치성공솔96.7%(29/30),여대조조73.3%(22/30)상비교,차이유통계학의의(P<0.05);연구조위관류치용시(6.8±1.6)min,여대조조(14.0±7.8)min상비교,차이유통계학의의(P<0.05);연구조치관과정중병발증발생솔현저저우대조조(P<0.05);대조조곤난치관8례중신경가시후경인도위관류치균취득성공。결론:가시후경인도위관류치법가제고중증혼미환자위관류치적성공솔,축단삽관시간,감소병발증,우기대우위관류치곤난환자구유교호적응용개치。
Objective:To explore the application value of video laryngoscope guided indwelling gastric tube method in patients with severe coma.Methods:60 coma patients with needing indwelling gastric tube were selected.They were divided into the study group and the control group with 30 cases in each.The study group applied video laryngoscope guided indwelling gastric tube.The control group was given blind interpolation indwelling gastric tube.The effect and complication of indwelling gastric tube of two groups were observed and compared.Results:The success rate of indwelling gastric tube in the study group was 96.7%(29/30), which was compared with 73.3%(22/30) of the control group,and the difference was statistically significant(P<0.05).The used time of indwelling gastric tube in the study group was (6.8 ± 1.6) minutes,which was compared with (14.0 ± 7.8) minutes of the control group,and the difference was statistically significant(P<0.05).The complication incidence rate during indwelling tube process in the study group was significantly lower than that of the control group(P<0.05).8 cases of difficult indwelling tube in the control group were successful by video laryngoscope guided indwelling gastric tube.Conclusion:Video laryngoscope guided indwelling gastric tube method can improve the success rate of indwelling gastric tube in patients with severe coma,and reduce the complications.It has good application value especially for patients with indwelling gastric tube difficult.