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目的研究应用气管提拉技术对气管插管患者置入鼻饲管的方法,以减少下鼻饲管对患者造成的不良刺激,为临床护理提供可靠资料。方法将我院ICU自2012年3月至2015年7月收治的有意识障碍的140例需要置入鼻饲管的气管插管患者,随机分为两组(观察组和对照组)。观察组患者应用气管提拉技术为其置入胃管,对照组患者应用传统方法为其置入胃管,将两组患者一次留置胃管的成功率相比较。结果观察组在应用气管提拉技术后,一次置管的成功率为92.86%,对照组患者应用传统技术,一次置管成功率为48.57%。两组结果对比,差别明显有统计学意义(P<0.05)。结论与传统方法相比,应用气管提拉技术,可以更安全快速的为气管患者置入胃管。
Objective To study the method of tracheal pulling in tracheal intubation patients to put nasogastric tube in order to reduce the negative stimulation of lower nasal feeding tube to patients and provide reliable information for clinical nursing. Methods One hundred and forty cases of tracheal intubation patients with nasal feeding tube admitted to ICU of our hospital from March 2012 to July 2015 were randomly divided into two groups (observation group and control group). In the observation group, tracheotomy was used to place the gastric tube in the observation group. The patients in the control group were treated with the traditional method of gastric tube placement, and the successful rate of indwelling gastric tube in the two groups was compared. Results In the observation group, the success rate of primary catheterization was 92.86% after the tracheal pulling technique was applied. In the control group, the success rate of primary catheterization was 48.57% using traditional techniques. The difference between the two groups was statistically significant (P <0.05). Conclusion Compared with the traditional method, the application of tracheal pulling technology can be more safe and rapid placement of gastric tube for tracheal patients.