两种鼻饲管在脑卒中吞咽功能障碍患者中的应用效果比较

目的比较聚氨酯鼻饲管与硅胶鼻饲管在脑卒中吞咽功能障碍患者鼻饲中一次置管成功率及舒适度情况。方法将80例吞咽功能障碍患者随机分为实验组42例与对照组38例,实验组患者给予聚氨酯鼻饲管插管鼻饲,对照组患者给予硅胶鼻饲管插管鼻饲。比较两组患者一次置管成功率、置管时间及舒适度。结果实验组患者一次置管成功率为90.5%,对照组为60.5%,两组比较,P<0.01,差异具有统计学意义;实验组患者置管所需时间为(12.2±2.3)min,对照组为(15.6±2.5)min,两组比较,P<0.01,差异具有统计学意义;实验组患者插管舒适度明显优于对照组,两组比较,P<0.01,差异具有统计学意义。结论聚氨酯鼻饲管较硅胶鼻饲管更适用于脑卒中吞咽功能障碍患者,其置管一次成功率高、置管时间短、患者耐受性好,值得临床推广应用。

Effects of two kinds of nasal feeding tubes on dysphagia in stroke patients

Objective To compare the one-time success rate of catheterization and comfort between the polyurethane nasal feeding tube and silicone nasal feeding tube used in stroke patients with dysphagia.Methods 80 dysphagia patients were divided into two groups randomly,42 patients in experimental group managed with polyurethane nasal feeding tube and 38 patients in control group managed with silicone nasal feeding tube.The one-time success rate of catheterization,duration of catheterization and comfort degree were compared between the two groups.Results The one-time success rates of catheterization in the experimental group and the control group were 90.5% and 60.5%,respectively and the difference between the two groups was significant（P 〈0.01）.The catheterization durations of the two groups were（12.2 ± 2.3）min and（15.6 ± 2.5） min,respectively and there was significant difference between the two groups（P 〈0.01）.Conclusion Compared with the silicone nasal feeding tube,the polyurethane nasal feeding tube is more suitable for stroke patients with dysphagia because it has higher one-time success rate,shorter catheterization duration and better tolerance.