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脑出血术后留置胃管患者的误吸风险及其预防策略

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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。
Aspiration risk and prevention strategies in patients with indwelling gastric tube after cerebral hemorrhage surgery
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.

Cerebral hemorrhageIndwelling gastric tubeIncidence rate of aspirationRelated factors

曹承凤、王学红、宋田雨、童微

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安徽医科大学附属巢湖医院神经外科,安徽巢湖 238000

脑出血 留置胃管 误吸发生率 相关因素

2024

现代科学仪器
中国分析测试协会

现代科学仪器

CSTPCD
影响因子:0.329
ISSN:1003-8892
年,卷(期):2024.41(4)