CAJ | 학술논문

目的：探讨可插入洗胃管的口腔开口器在洗胃患者中的应用效果。方法将66例急性中毒需洗胃患者按照随机数字表法随机分为观察组和对照组各33例，观察组使用可插入洗胃管的口腔开口器，对照组使用金属开口器。结果2组比较插入洗胃管所需时间[（2.23±0.19）s 比（3.26±0.30）s ]和洗胃并发症干呕[18.2%（6/33）比45.5%（15/33）]、口腔黏膜出血[6.0%（2/33）比30.3%（10/33）]、洗胃管移位脱出[0比24.2%（8/33）]、洗胃管盘曲[0比24.2%（8/33）]发生率，观察组均低于对照组，差异具有统计学意义，P<0.01，而观察组一次插管成功率[100.0%（33/33）]高于对照组[54.5%（18/33）]，差异具有统计学意义，χ2=19.4，P<0.01。结论应用可插入洗胃管的口腔开口器提高了插洗胃管一次成功率，节省了抢救时间，减少了并发症的发生，提高了护理质量。
목적：탐토가삽입세위관적구강개구기재세위환자중적응용효과。방법장66례급성중독수세위환자안조수궤수자표법수궤분위관찰조화대조조각33례，관찰조사용가삽입세위관적구강개구기，대조조사용금속개구기。결과2조비교삽입세위관소수시간[（2.23±0.19）s 비（3.26±0.30）s ]화세위병발증간구[18.2%（6/33）비45.5%（15/33）]、구강점막출혈[6.0%（2/33）비30.3%（10/33）]、세위관이위탈출[0비24.2%（8/33）]、세위관반곡[0비24.2%（8/33）]발생솔，관찰조균저우대조조，차이구유통계학의의，P<0.01，이관찰조일차삽관성공솔[100.0%（33/33）]고우대조조[54.5%（18/33）]，차이구유통계학의의，χ2=19.4，P<0.01。결론응용가삽입세위관적구강개구기제고료삽세위관일차성공솔，절성료창구시간，감소료병발증적발생，제고료호리질량。
Objective To evaluate the effectiveness of mouth gag which can inserted into lavage tube during gastric lavage. Methods The Sixty- six cases of acute poisoning patients with gastric lavage according to random number table method were randomly divided into two groups, 33 cases in each group. Observation group used the inserted mouth gag, and the control group used the metal ones. Results The observation group were lower than the control group at the time required to insert the lavage tube [(2.23±0.19)s to (3.26±0.30)s] and the incidence of complication rate [18.2%(6/33) to 45.5%(15/33)], the oral cavity bleeding [6.0%(2/33) to 30.3%(10/33)], lavage tube displacement [0(0/33)to 24.2%(8/33)], lavage tube twisting[0(0/33) to 24.2%(8/33)], the difference was statistically significant (P<0.01), while higher in the rate of successful intubation[100.0%(33/33)] to [54.5%(18/33)], the difference was statistically significant, χ2=19.4,P<0.01. Conclusions The application of the mouth gag which can insert into gastric lavage improved the successful intubation rate, saved the rescue time, reduced the complication and improved the nursing quality.