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盐酸达克罗宁胶浆作润滑剂在洗胃术中的应用效果研究
引用本文:高辉,王玉华,张延威,杨跃涛,张丽,赵麦良,朱慧军. 盐酸达克罗宁胶浆作润滑剂在洗胃术中的应用效果研究[J]. 临床合理用药杂志, 2014, 7(2): 19-20
作者姓名:高辉  王玉华  张延威  杨跃涛  张丽  赵麦良  朱慧军
作者单位:高辉 (河北省邢台市人民医院急救科,054001); 王玉华 (河北省邢台市人民医院急救科,054001); 张延威 (河北省邢台市人民医院急救科,054001); 杨跃涛 (河北省威县人民医院,054600); 张丽 (河北省临城县人民医院,054300); 赵麦良 (河北省邢台市人民医院急救科,054001); 朱慧军 (河北省邢台市人民医院急救科,054001);
摘    要:目的 研究盐酸达克罗宁胶浆作润滑剂在洗胃术中应用的效果.方法 口服毒物中毒需洗胃治疗且神志清楚患者126例,分为观察组和对照组各63例,观察组洗胃前应用1%盐酸达克罗宁胶浆作润滑剂,对照组以石腊油作润滑剂,常规留置洗胃管后行洗胃术.比较2组胃管置管成功率,洗胃中疼痛、呛咳、恶心呕吐等情况.结果 观察组胃管置管成功率100%,明显高于对照组的87.3%,观察组舒适度(疼痛、呛咳)、洗胃不良反应(呕吐)情况均优于对照组.差异有统计学意义(P〈0.05).结论 盐酸达克罗宁胶浆作润滑剂应用于洗胃术中,能有效提高插管成功率及患者耐受性,减少洗胃不良反应的发生.

关 键 词:盐酸达克罗宁胶浆  中毒  洗胃  不良反应

Study on the effect of the application of dyclonine hydrochloride mucilage as a lubricant on gastrolavage
Affiliation:GAO Hui, WANG Yu-hua, ZHANG Yan-wei. Department of Emergency, Xingtai People's Hospital, Hebei 054001, China
Abstract:Objective To explore the efficacy of dyclonine hydrochloride ihucilage as a lubricant on gastrolavage. Methods 126 conscious patients in our hospital who took intoxication orally and received gastrolavage were equally random- ized into observation group and control group, each of 63 cases. The observation group received 1% hydrochloric acid dyclonine mucilage as lubricant before the gastrolavage ,while the control group received paraffin oil as lubricant. The success rate of in- setting gastric tube and the adverse reactions such as pain, bucking, nausea and vomiting of 2 groups were compared. Results The success rate of inserting gastric tube of the observation group was 100%, which was higher than 87.3% of the control group;the degree of comfort (pain, bucking), the adverse reaction of gastrolavage were significantly better in observation group than that of the control group, and the differences were statistically significant (P 〈 0.05 ). Conclusion Dyclonine hydrochlo- ride mucilage as lubricant can effectively improve the success rate of inserting gastric tube and patients' tolerance, eliminate the incidence of adverse reaction.
Keywords:Dyclonine hydrochloride mucilage  Intoxication  Gastrolavage  Adverse reaction,
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