CAJ | 학술논문

目的探讨对难置胃管患者使用自制酸梅冰棍冷酸刺激咽喉法联合咽喉部触摸法留置胃管的可行性和有效性.方法选择因吞咽功能明显下降需置胃管或长期使用胃管导致吞咽功能减退、唾液分泌减少的患者及常规置管出现剧烈呛咳、恶心、呕吐操作不能成功患者60例,随机分为对照组和观察组各30例.对照组采用传统置入胃管法,观察组采用自制酸梅冰棍冷酸刺激咽喉法联合咽喉部触摸法留置胃管.比较两组效果.结果观察组一次置管成功率为96.7％,平均置管时间为(1.4±1.1)min,明显优于传统方法,而不良反应明显少于传统留置胃管法,差异有统计学意义(P＜0.05).结论自制酸梅冰棍冷酸刺激咽喉法联合咽喉部触摸法留置胃管可有效减轻患者的不良反应,提高一次置管成功率,缩短置管时间,减轻患者痛苦,促进患者疾病康复.
목적 탐토대난치위관환자사용자제산매빙곤랭산자격인후법연합인후부촉모법류치위관적가행성화유효성.방법 선택인탄인공능명현하강수치위관혹장기사용위관도치탄인공능감퇴、타액분비감소적환자급상규치관출현극렬창해、악심、구토조작불능성공환자60례,수궤분위대조조화관찰조각30례.대조조채용전통치입위관법,관찰조채용자제산매빙곤랭산자격인후법연합인후부촉모법류치위관.비교량조효과.결과 관찰조일차치관성공솔위96.7％,평균치관시간위(1.4±1.1)min,명현우우전통방법,이불량반응명현소우전통류치위관법,차이유통계학의의(P＜0.05).결론 자제산매빙곤랭산자격인후법연합인후부촉모법류치위관가유효감경환자적불량반응,제고일차치관성공솔,축단치관시간,감경환자통고,촉진환자질병강복.
Objective To explore the feasibility of sour plum popsicles cold and acid stimulation on throat combined with throat touching method in hard stomach tube placement.Methods 60 patients who needed to receive stomach tube placement because of obviously declined swallowing function,whose swallowing function and salivary secretion declined because of long-term usage of stomach tube,or who had severe choking cough,nausea,emesis during conventional stomach tube placement were selected,and randomly divided into control group and observation group with 30 cases in each group.Control group received conventional stomach tube placement,while observation group received stomach tube placement with the methods of sour plum popsicles cold and acid stimulation on throat combined with throat touching method.Compared the results of two groups.Results The success rate of once tube placement in observation group was 96.7％,the average time of tube placement was (1.4±1.1) min,superior to traditional method;the rate of adverse reactions was significantly lower than that in traditional method of indwelling gastric tube,with statistically significant difference (P＜0.05).Conclusion Stomach tube placement with the methods of homemade sour plum popsicles cold and acid stimulation on throat combined with throat touching method can effectively alleviate adverse reactions of patients,improve the success rate of once tube placement,shorten the tube placement time,relieve patients' pain,promote patients' recovery.