摘要
目的:探讨艾谱力胃管在脑卒中伴吞咽障碍患者中的应用效果,为临床鼻饲胃管的选择寻找依据。方法:将202例脑卒中合并吞咽困难的患者随机分为观察组和对照组,观察组106例采用艾谱力胃管进行留置胃管;对照组96例采用硅胶胃管留置胃管。观察两组患者平均插管时间、一次插管成功率、总插管成功率、不良反应、胃管留置时间及不同时间胃管变化情况。结果:观察组平均插管时间明显短于对照组(P<0.01),一次插管成功率、总插管成功率明显高于对照组(P<0.05),不良反应发生率低于对照组(P<0.05),胃管留置时间长于对照组(P<0.01),不同时间胃管弹性颜色改变两组比较差异有统计学意义(P<0.05)。结论:艾谱力胃管鼻饲效果明显优于硅胶胃管,值得临床推广应用,尤其适合需留置胃管大于1个月的患者。
Objective ：To investigate the application effect of APPLIX gastric tube in stroke patients with dysphagia in order to provide the basis for the choice of clinical nasal feeding gastric tube.Methods ：202 cases of stroke patients with dysphagia were randomly divided into observating group（n=106） and control group（n=96）.The APPLIX gastric tube was applied in the observating group and the silica gastric tube was applied in the control group.The time of single tube intubation, the onetime success rate of intubation, the total success rate of intubation, adverse reactions, indwelling time of the tube and changes of the tube were comparatively studied after the two kinds of tubes were used.Results ：The average intubation of observating group was significantly shorter than control group（P〈0.01）, the onetime success rate and the total success rate of intubation of observating group were obviously higher than control group（P〈0.05）, the adverse reactions of observating group were lower than control group （P〈0.05）, indwelling time of the tube of observating group was longer than control group（P〈0.01）, the comparison of the changes in elastic and color of gastric tube at different times between two groups was significantiy different（P〈0.05）. Conclusion ：Using APPLIX gastric tube is better than silica gastric tube and has great value in clinical applications, especially suitable for patients who use indwelling gastric tube more than 1 month.
出处
《中外医学研究》
2012年第25期10-12,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
艾谱力胃管
鼻饲
吞咽障碍
APPLIX gastric tube
Nasal feeding
Dysphagia
