胃镜胶在气管插管清醒患者留置胃管中的应用与效果观察

目的 观察临床中胃镜胶在气管插管清醒患者留置胃管中的应用效果.方法 选取沈阳军区总医院肝胆外科2010年1月～2011年12月的80例气管插管患者,随机分为观察组与对照组,对照组40例患者给予常规的方法进行插管,而观察组40例患者在插管前给予口腔注入胃镜胶后进行插管处理,观察两组的应用效果.结果 对照组的收缩压和舒张压变化值、心率和呼吸变化次数分别为（8.9±1.1）、（14.7±1.4）mm Hg、（12.7±1.2）、（4.2±0.4）次/min,观察组的收缩压和舒张压变化值、心率和呼吸变化次数分别为（2.3±0.8）、（4.2±0.7）mm Hg、（2.4±0.7）、（1.1±0.1）次/min,两组的数据比较,差异有统计学意义（t=7.3511、8.3021、7.4021、6.4034,均P＜0.05）.观察组一次性插管成功率为85.0％,重插成功率为15.0％,失败为0.0％,对照组一次性插管成功率为50.0％,重插成功率为10.0％,失败为40.0％,观察组一次性插管成功率明显高于对照组一次性插管成功率,数据比较差异有统计学有意义（x2=8.36,P＜0.05）.观察组患者插管依从性与插管满意度分别为92.5％、92.5％,对照组患者插管依从性与插管满意度分别为75.0％、77.5％,观察组患者插管依从性与插管满意度均明显高于对照组患者插管依从性与插管满意度,数据比较差异有统计学有意义（x2=7.13、7.46,均P＜0.05）.观察组刺激性反应发生率为20.0％,对照组刺激性反应发生率为85.0％,观察刺激性反应发生率明显低于对照组（x2=8.31,P＜0.05）.结论 临床中对于气管插管清醒患者留置胃管的过程中,给予口腔注入胃镜胶能够有效地提高一次性插管成功率,并减少患者的痛苦与刺激性反应.同时,使用的过程中能够有效地提高患者插管的依从性和满意度,从而有效地维持血压和心率以及呼吸的稳定,减少波动,使用安全性高,值得在临床中应用与推广.

Gastro scope gel in the application and effect of nasogastric intubation end tracheal intubation awake patients

Objective To observe the clinical endoscopy glue in awake intubation in patients with indwelling stomach tube application effect. Methods 80 cases of tracheal intubation in Shenyang Military General Hospital of Hepatobiliary Surgery from January 2010 to December 2011 were randomly divided into observation group and control group, the control group of 40 patients treated with conventional methods of intubation, and in the observation group, 40 patients were given oral intubation after intubation plastic injection endoscopic, treatment effects were observed in the application. Results In the control group, changes in systolic and diastolic values, the number of changes in heart rate and respiration were （8.9 ± 1.1）, （14.7± 1.4） mm Hg, （12.7 ± 1.2） diastolic blood group values, the number of changes in heart rate and （2.4 ± 0.7）, （1.1 ± 0.1） times/rain; comparison of the data with （4.2± 0.4） times/min; changes in systolic and respiration were （2.3 ± 0.8）, （4.2 ± 0.7） mm Hg, two significant differences, the difference was statistically significant （t = 7.3511, 8.3021, 7.4021, 6.4034, P 〈 0.05）. Disposable intubation success rate in observation group was 85.0%, re-insert success rate of was 15.0%, failed was 0.0%; disposable intubation success rate of the control group was 50.0%, and re-inserted success rate was 10.0%, the failure was 40.0%. Disposable intubation success rate of dbservation group was significantly higher than a one-time intubation success rates, comparison of data with significant difference （X2 = 8.36, P 〈 0.05）, statistically meaningful. The patients intubation compliance with satisfaction were 92.5%, 92.5%; compliance control group of patients with intubation satisfaction were 75.0%, 77.5%; observation group were incubated and incubated compliance satisfaction were significantly higher in patients with intubation compliance satisfaction, comparison of the data with a significant difference （X2 = 7.13, 7.46, P 〈 0.05）, statistically meaningful. Observation group irritant reactions was 20.0% in the control group irritant reactions was 85.0%, the incidence of irritation was observed significantly lower than the control group, the incidence of irritation between the＇ two groups of data comparisons with significant differences （X2 = 8.31, P 〈 0.05）, statistically meaningful. Conclusion For clinical patient awake intubation indwelling gastric tube in the process, giving oral endoscopic injection of glue can effectively improve the one-time intubation success rates, and reduce the patient＇s pain and irritation. Meanwhile, the use of the process can effectively improve patient compliance intubation and satisfaction, so as to effectively maintain blood pressure and heart rate and respiratory stability, reduce volatility, the use of safe, worthy of clinical application and promotion.