脑出血术后留置胃管患者的误吸风险及其预防策略
Aspiration risk and prevention strategies in patients with indwelling gastric tube after cerebral hemorrhage surgery
曹承凤 1王学红 1宋田雨 1童微1
作者信息
- 1. 安徽医科大学附属巢湖医院神经外科,安徽巢湖 238000
- 折叠
摘要
目的:探究脑出血术后留置胃管患者的误吸风险及其预防策略.方法:回顾性分析 2022年 2月-2023年 7 月收治的 86 例脑出血术后留置胃管患者的临床资料,统计患者误吸发生率,并进行单因素及多元线性回归分析.结果:86例患者中误吸发生率为 39.53%,年龄＞75岁、APACHEⅡ评分＞18分、进行机械通气以及胃残余量＞200ml为患者误吸发生的独立危险因素(P＜0.05),鼻饲管置入长度≥85.00cm为误吸发生的独立保护因素(P＜0.05).结论:行脑出血术后留置胃管患者容易发生误吸,医护人员需加强针对性的干预,降低误吸发生风险.
Abstract
Objective:To explore the aspiration risk and prevention strategies in patients with indwelling gastric tube after cerebral hemorrhage surgery.Methods:The clinical data of 86 patients with indwelling gastric tube after cerebral hemorrhage surgery from February 2022 to July 2023 were retrospectively analyzed.The incidence rate of aspiration in all patients was counted,and univariate analysis and multivariate linear regression analysis were performed.Results:The incidence rate of aspiration in 86 patients was 39.53％.Age＞75 years old,APACHEⅡ score＞18 points,mechanical ventilation and gastric residual volume＞200 mlwere independent risk factors for aspiration in patients(P＜0.05),and the placement length of nasogastric feeding tube≥85.00 cm was an independent protective factor for aspiration(P＜0.05).Conclusion:Patients with indwelling gastric tube after cerebral hemorrhage surgery are prone to aspiration.Medical staff should strengthen targeted intervention to reduce the risk of aspiration.
关键词
脑出血/留置胃管/误吸发生率/相关因素Key words
Cerebral hemorrhage/Indwelling gastric tube/Incidence rate of aspiration/Related factors引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据