摘要
目的 应用循证护理探讨脑卒中患者胃管置入长度并评价其效果。方法 将我院116例经鼻胃管肠内营养的脑卒中患者随机分为对照组（n＝52）和观察组（n＝64），观察组根据循证步骤选取最佳的证据，改进胃管留置长度为患者眉心至脐的体表距离（约55～65 cm ）；对照组按《基础护理学》教材，胃管留置长度为患者前额发际至剑突的体表距离（约45～55 cm ），比较两组患者返流、呛咳及误吸的发生率和胃内残留量监测情况。结果 观察组返流、呛咳及误吸发生率均低于对照组（P＜0．05）；观察组胃内残留量大于对照组（P＜0．05）。结论 采取循证护理的方法制订科学、个性化的胃管留置长度，可准确反映胃内残留量，减少返流、呛咳及误吸发生率，值得在临床实践工作中推荐。
Objective To study and evaluate the effect of nasogastric tube＆#39;s indwelling length for stroke patients with cerebral .Method 116 patients with enteral nutrition by nasogastric tube were randomly assigned and divided into control group and observe group .The indwelling length of nasogastric tube was 55~65 cm from eyebrows to na‐vel in the control group ,and 45~55 cm in the observe group .Result The remain volume of gastric juice in the observe group was more than that of the control group（P〈0 .05） .Conclusion Selecting a suitable indwelling length of nasogastric tube among stroke patients by the evidence‐based nursing may reflect the gastric residual volume accurately ,reduce reflux ,choking and aspiration rates .Its a feasibility method for clinical using .
出处
《护士进修杂志》
2014年第23期2132-2135,共4页
Journal of Nurses Training
基金
湖北医药学院附属太和医院2013年循证医学"苗圃基金"资助项目(编号:EBM2013008)
关键词
循证护理
胃管留置长度
脑卒中
Evidence-based nursing
Length of gastric tube indwelling
Stroke
