CAJ | 학술논문

目的：应用循证护理探讨脑卒中患者胃管置入长度并评价其效果。方法将我院116例经鼻胃管肠内营养的脑卒中患者随机分为对照组（n＝52）和观察组（n＝64），观察组根据循证步骤选取最佳的证据，改进胃管留置长度为患者眉心至脐的体表距离（约55～65 cm ）；对照组按《基础护理学》教材，胃管留置长度为患者前额发际至剑突的体表距离（约45～55 cm ），比较两组患者返流、呛咳及误吸的发生率和胃内残留量监测情况。结果观察组返流、呛咳及误吸发生率均低于对照组（P＜0．05）；观察组胃内残留量大于对照组（P＜0．05）。结论采取循证护理的方法制订科学、个性化的胃管留置长度，可准确反映胃内残留量，减少返流、呛咳及误吸发生率，值得在临床实践工作中推荐。
목적：응용순증호리탐토뇌졸중환자위관치입장도병평개기효과。방법장아원116례경비위관장내영양적뇌졸중환자수궤분위대조조（n＝52）화관찰조（n＝64），관찰조근거순증보취선취최가적증거，개진위관류치장도위환자미심지제적체표거리（약55～65 cm ）；대조조안《기출호이학》교재，위관류치장도위환자전액발제지검돌적체표거리（약45～55 cm ），비교량조환자반류、창해급오흡적발생솔화위내잔류량감측정황。결과관찰조반류、창해급오흡발생솔균저우대조조（P＜0．05）；관찰조위내잔류량대우대조조（P＜0．05）。결론채취순증호리적방법제정과학、개성화적위관류치장도，가준학반영위내잔류량，감소반류、창해급오흡발생솔，치득재림상실천공작중추천。
Objective To study and evaluate the effect of nasogastric tube's indwelling length for stroke patients with cerebral .Method 116 patients with enteral nutrition by nasogastric tube were randomly assigned and divided in‐to control group and observe group .The indwelling length of nasogastric tube was 55~65 cm from eyebrows to na‐vel in the control group ,and 45~55 cm in the observe group .Result The remain volume of gastric juice in the ob‐serve group was more than that of the control group(P<0 .05) .Conclusion Selecting a suitable indwelling length of nasogastric tube among stroke patients by the evidence‐based nursing may reflect the gastric residual volume accu‐rately ,reduce reflux ,choking and aspiration rates .Its a feasibility method for clinical using .