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目的观察利多卡因联合呋麻滴鼻液在留置胃管中的应用效果。方法选择2015年1月-2017年3月医院住院部收治的因胃肠道疾病、手术、坏死性胰腺炎等原因需留置胃管的患者60例,按照随机数字表法分为试验组和对照组各30例,对照组患者按常规方法实施留置胃管,试验组留置胃管前给予利多卡因联合呋麻滴鼻液滴鼻,比较2组患者置管过程中恶心和呕吐发生情况、一次性置管成功率、自行拔管率、患者满意度及置管期间咽喉部疼痛情况。结果试验组患者置管过程中恶心、呕吐发生率均明显低于对照组,差异有统计学意义(P<0.05)。试验组患者一次性置管成功率及患者满意度均明显高于对照组,自行拔管率明显低于对照组,差异均有统计学意义(P<0.05)。试验组患者置管期间咽喉部疼痛0级所占比例明显高于对照组,Ⅲ级所占比例明显低于对照组,差异均有统计学意义(P<0.05)。结论利多卡因联合呋麻滴鼻液滴鼻后再置管操作简单,能够有效提高患者耐受情况、一次性置管成功率和满意度,减少自行拔管风险,值得临床推广应用。
Objective To observe the effect of lidocaine combined with furosemide nasal drops in gastric tube placement. Methods From January 2015 to March 2017, 60 hospitalized patients admitted to the hospital inpatient department for gastrointestinal diseases, surgery, necrotizing pancreatitis and other reasons were divided into experimental group and control group according to random number table The patients in the control group were treated with indwelling gastric tube by the conventional method. The experimental group was given lidocaine combined with furosemide intranasal nasal drops before gastric tube placement. The incidence of nausea and vomiting during catheterization was compared between the two groups The success rate of sexual catheterization, extubation rate, patient satisfaction and throat pain during catheterization. Results The incidence of nausea and vomiting during catheterization in the test group was significantly lower than that in the control group (P <0.05). The success rate of one-time catheterization and patient satisfaction in the experimental group were significantly higher than that of the control group, and the rate of self-extubation was significantly lower than that of the control group (P <0.05). The proportion of grade 0 throat pain during catheterization in test group was significantly higher than that in control group, and the proportion of grade Ⅲ was significantly lower than that in control group (P <0.05). Conclusions Lidocaine combined with furosemide nasal drops nasal drops after nasal re-catheter operation is simple, can effectively improve patient tolerance, the success rate and satisfaction of one-time catheterization and reduce the risk of extubation, worthy of clinical application.