留置胃管非计划性拔管原因分析与对策

目的探讨留置胃管患者发生非计划性拔管的原因与有效的应对措施。方法对笔者所在医院发生的14例留置胃管非计划性拔（脱）管情况进行统计分析。结果置管后第3～4天非计划性拔管的发生率最高达64．29％；同时夜班也是发生非计划性拔管的高危因素，发生率高达78．57％。结论对留置胃管的患者在护理工作中应加强责任心，做好护患沟通，改进固定胃管方法，加强护理管理，才能有效地预防非计划性拔管的发生，保证患者的治疗安全。

Cause analysis of 14 cases non - plan decunnulaion of indwelling gastric tube

Objective To analyze the reason of 14 cases unplanned indwelling gastric tube removings and find effective way to solve this problem. Methods Analyze the reason of 14 cases unplanned indwelling gastric tube removing occurred in our surgical department. Results The patient normally removed the indwelling stomach tube by themselves 3 - 4 days after the tube was put into,64. 29% to the maximum happened during daytime shift,while 78. 57% to the maximum happened during night shift. Conclusion More communication with patients, Proper pain killer, Improved fixing way and management can prevent this problem from happening to guarantee the treatment safety on patients.