CAJ | 학술논문

目的：探讨并评价改良插胃管法在老年尿毒症吞咽障碍患者中应用的效果。方法将41例肾内科老年尿毒症吞咽障碍需要鼻饲患者作为研究对象，按照入院的先后顺序分为对照组20例和改良组21例。对照组采用传统插胃管法，改良组采用改良插胃管法。观察比较两组患者置管成功率、置管时间、恶心呕吐和呛咳发生率。结果改良组1次置管成功率、2次置管成功率明显高于对照组,差异有统计学意义（字2=4.111，字2=4.221，均P＜0.05）；改良组置管时间明显少于对照组（t=2.271，P＜0.05），置管时呛咳发生率低于对照组（字2=4.667，P＜0.05），差异有统计学意义。而两组患者恶心呕吐发生率比较差异无统计学意义（字2=0.006， P＞0.05），置管费用无差异。结论改良插胃管法能显著提高置管成功率，缩短置管时间,减轻患者痛苦。
목적：탐토병평개개량삽위관법재노년뇨독증탄인장애환자중응용적효과。방법장41례신내과노년뇨독증탄인장애수요비사환자작위연구대상，안조입원적선후순서분위대조조20례화개량조21례。대조조채용전통삽위관법，개량조채용개량삽위관법。관찰비교량조환자치관성공솔、치관시간、악심구토화창해발생솔。결과개량조1차치관성공솔、2차치관성공솔명현고우대조조,차이유통계학의의（자2=4.111，자2=4.221，균P＜0.05）；개량조치관시간명현소우대조조（t=2.271，P＜0.05），치관시창해발생솔저우대조조（자2=4.667，P＜0.05），차이유통계학의의。이량조환자악심구토발생솔비교차이무통계학의의（자2=0.006， P＞0.05），치관비용무차이。결론개량삽위관법능현저제고치관성공솔，축단치관시간,감경환자통고。
Objective To evaluate the effect of improved gastric tuber intubation on elderly uremia patients with swallowing disorder. Methods Forty-one elderly uremia patients with swallowing disorder were divided into control group with convention gastric tuber intubation (n=20) and experiment group with improved gastric tuber intubation (n=21). Success rate of intubation, intubation time, the incidence of nausea, vomiting and bucking were compared in two groups. Results The one-time and second-time success rate of gastric tube intubation in experiment group were higher than those in control group, which indicated statistical significance (χ2=4.111,χ2=4.221,P<0.05) and there was shorter intubation time (t=2.271,P<0.05) and lower incidence of bucking (χ2=4.667,P<0.05) in experiment group than those in control group but there was no statistical significance in the comparison of the incidence of nausea and vomiting (χ2=0.006,P>0.05)) and the intubation cost. Conclusion The improved gastric tube intubation is effective for improving the success rate of intubation, shortening intubation time and relieving patients ’ pain.