左侧卧位插胃管法在昏迷患者中的应用

目的探讨左侧卧位插胃管法在昏迷患者中应用的可行性和临床意义。方法将有插胃管需要的100例昏迷患者随机分为常规组和左侧卧位插管组各50例，分别进行常规方法插胃管和左侧卧位插胃管，观察2种插管法在插胃管过程中的置管成功率及并发症发生情况。结果一次置管成功率左侧卧位插管组显著高于常规组，并发症发生率常规组则显著高于左侧卧位插管组，差异均有统计学意义，P〈0．05。结论左侧卧位是昏迷患者插胃管时的一种理想的体位，左侧卧位插胃管法一次性成功率高，并发症少，值得推广运用。

Application of gastric tube insertion by left recumbent position for patients with exanimation

Objective To explore the practicability and clinical significance of gastric tube insertion by left recumbent position for patients with exanimation. Methods We divided 100 patients with exanimation who needed gastric tube insertion into the routien group and the left-recumbent-position group with 50 cases in each group randomly and adopted routine insertion method and insertion by left recumbent position.The success rate of tube insertion and incidence of complications were observed in the two groups. Results The one-time success rate of insertion was higher while the incidence of complication was lower in the left-recumbent-position group compared with the control group （P 〈 0.05）. Conclusion Gastric tube insertion by left recumbent position proved to be a desirable method in that it could increase the onetime success rate of insertion and decrease the complications.So it worth widely applying.