改良体位与导丝引导置管法联合应用价值
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摘要
目的探讨改良体位加导丝引导置管法在ICU人工气道患者留置胃管中的应用效果。方法选取2017年1月—2018年9月的68例ICU人工气道患者作为研究对象,按照随机抽签方法分为两组,对照组给予常规胃管留置法,观察组给予改良体位加导丝引导置管法,各34例,且对两组患者的一次性置管成功率、收缩压、舒张压、心率、血氧饱和度进行观察及评估。结果观察组一次性置管成功率高于对照组,P <0.05。观察组置管前后的生命体征,无改变(P> 0.05);对照组置管前后的生命体征,发生改变(P <0.05)。结论改良体位加导丝引导置管法应用于ICU人工气道患者留置胃管中具有较高的临床价值,有利于提高一次性置管成功率及保证生命体征的平稳。
Objective To investigate the effect of improved position plus guidewire catheterization in the indwelling gastric tube of ICU artificial airway patients. Methods From January 2017 to September 2018, 68 cases of ICU artificial airway patients were selected as study subjects. They were divided into two groups according to random sampling method. The control group was given conventional gastric tube indwelling method, and the observation group was given improved position. The guidewire method was used to guide the tube, 34 cases in each case, and the one-time tube placement success rate, systolic blood pressure, diastolic blood pressure, heart rate and blood oxygen saturation were observed and evaluated. Results The success rate of one-time tube placement in the observation group was higher than that in the control group, P < 0.05. There were no significant changes in vital signs before and after catheterization in the observation group(P > 0.05). The vital signs before and after catheterization in the control group changed significantly(P < 0.05). Conclusion The improved position plus guide wire catheterization method has high clinical value in the indwelling gastric tube of ICU artificial airway patients, which is beneficial to improve the success rate of disposable tube placement and ensure the stability of vital signs.
Objective To investigate the effect of improved position plus guidewire catheterization in the indwelling gastric tube of ICU artificial airway patients. Methods From January 2017 to September 2018, 68 cases of ICU artificial airway patients were selected as study subjects. They were divided into two groups according to random sampling method. The control group was given conventional gastric tube indwelling method, and the observation group was given improved position. The guidewire method was used to guide the tube, 34 cases in each case, and the one-time tube placement success rate, systolic blood pressure, diastolic blood pressure, heart rate and blood oxygen saturation were observed and evaluated. Results The success rate of one-time tube placement in the observation group was higher than that in the control group, P < 0.05. There were no significant changes in vital signs before and after catheterization in the observation group(P > 0.05). The vital signs before and after catheterization in the control group changed significantly(P < 0.05). Conclusion The improved position plus guide wire catheterization method has high clinical value in the indwelling gastric tube of ICU artificial airway patients, which is beneficial to improve the success rate of disposable tube placement and ensure the stability of vital signs.
引文
[1]范惠,李萍,丁会娥.改良体位在ICU人工气道患者留置胃管中的应用[J].护理学杂志,2015,30(9):43-45.
[2]党振娟.改良体位加导丝利多卡因在昏迷人工气道患者留置胃管中的应用效果观察[J].齐鲁护理杂志,2016,22(8):92-94.
[3]李杰,寇京莉,王欣然,等.改进导丝置入法在超声引导下PICC置管中的应用[J].中华现代护理杂志,2016,22(26):3831-3833.
[4]顾晓华,侯卓,孙健.术后X线监视改良超滑导丝法置鼻肠管在胃食管腔镜手术的应用[J].交通医学,2016,30(4):343-344.
[5]李日清,钟娜,韦凤莲,等.改良法插入胃管配合体位干预对新生儿洗胃的影响[J].医学信息,2016,29(19):70-71.
[6]程素玲,黄秀冰,郑碧珊.改良置管法对提高神经外科气管切开患者胃管置管成功率的影响[J].护理实践与研究,2015,12(8):53-54.
[7]余金活,伍丽霞,赵艳婷.临床护理思维模式在ICU患者留置胃管的体会[J].吉林医学,2016,37(7):1817-1819.
[8]高辉,秦发伟.老年鼻咽喉部疾病患者行胃癌根治术后选择性留置胃管的循证护理实践[J].中华现代护理杂志,2016,22(3):332-338.
[9]孙林霞,王玉芳.品管圈活动降低神经内科留置胃管患者非计划性拔管率的效果观察[J].中华现代护理杂志,2016,22(28):4102-4106.
[10]詹静晔,杨秀芳,陆娟. ICU人工气道患者行肠内营养期间误吸发生的原因及预防[J].国际护理学杂志,2016,35(6):728-731.
[11]刘健,王建元,李冬红,等.危重患者留置胃管困难的原因分析及护理干预对策[J].中国临床护理,2015,30(3):193-194.
[12]姚晓丽,任玲.舒适护理对内镜黏膜下剥离术后留置胃管患者生理干扰的影响研究[J].护士进修杂志,2016,31(22):2031-2034.
[2]党振娟.改良体位加导丝利多卡因在昏迷人工气道患者留置胃管中的应用效果观察[J].齐鲁护理杂志,2016,22(8):92-94.
[3]李杰,寇京莉,王欣然,等.改进导丝置入法在超声引导下PICC置管中的应用[J].中华现代护理杂志,2016,22(26):3831-3833.
[4]顾晓华,侯卓,孙健.术后X线监视改良超滑导丝法置鼻肠管在胃食管腔镜手术的应用[J].交通医学,2016,30(4):343-344.
[5]李日清,钟娜,韦凤莲,等.改良法插入胃管配合体位干预对新生儿洗胃的影响[J].医学信息,2016,29(19):70-71.
[6]程素玲,黄秀冰,郑碧珊.改良置管法对提高神经外科气管切开患者胃管置管成功率的影响[J].护理实践与研究,2015,12(8):53-54.
[7]余金活,伍丽霞,赵艳婷.临床护理思维模式在ICU患者留置胃管的体会[J].吉林医学,2016,37(7):1817-1819.
[8]高辉,秦发伟.老年鼻咽喉部疾病患者行胃癌根治术后选择性留置胃管的循证护理实践[J].中华现代护理杂志,2016,22(3):332-338.
[9]孙林霞,王玉芳.品管圈活动降低神经内科留置胃管患者非计划性拔管率的效果观察[J].中华现代护理杂志,2016,22(28):4102-4106.
[10]詹静晔,杨秀芳,陆娟. ICU人工气道患者行肠内营养期间误吸发生的原因及预防[J].国际护理学杂志,2016,35(6):728-731.
[11]刘健,王建元,李冬红,等.危重患者留置胃管困难的原因分析及护理干预对策[J].中国临床护理,2015,30(3):193-194.
[12]姚晓丽,任玲.舒适护理对内镜黏膜下剥离术后留置胃管患者生理干扰的影响研究[J].护士进修杂志,2016,31(22):2031-2034.