首页|可视性圆角鼻贴联合半球形网状兜在胃肠减压中的应用研究

可视性圆角鼻贴联合半球形网状兜在胃肠减压中的应用研究

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目的 研究可视性圆角鼻贴联合半球形网状兜固定胃肠减压效果,并探究其临床价值.方法 选取杭州市临平区第一人民医院 2020 年 1 月至 12 月留置胃肠减压患者 128 例,按随机数字表法将其分为对照组和研究组,每组 64例.对照组使用常规直角"人"形鼻贴联合别针固定胃肠减压,研究组采用"可视性圆角"鼻贴联合半球形网状兜固定.比较两组鼻贴更换频率、胃肠减压器脱落率、非计划性拔管率、鼻部皮肤不良反应发生率和不同处理时间睡眠情况(置管后第 1、3、5 天)、舒适度评分等差异.结果 研究组鼻脸贴更换频率、胃肠减压器脱落率、非计划性拔管率及鼻部皮肤不良反应发生率低于对照组,差异有统计学意义(P<0.05).两组睡眠情况组间、时间比较,差异有统计学意义(P<0.05).研究组心理、生理、社会、环境及整体评分高于对照组,差异有统计学意义(P<0.05).结论 本研究设计的胃肠减压固定方法可有效降低非计划性拔管率,提高医疗效果及患者舒适度,值得临床应用推广.
Application research of visual round nose patch combined with hemi spherical mesh pocket in gastrointestinal decompression
Objective To investigate the effect of visible round nose patch combined with hemispherical mesh pocket on gastrointestinal decompression and its clinical value.Methods A total of 128 patients with indentured gastrointestinal decompression from January to D ecember 2020 from the First People's Hospital of Linping District were selected and divided into control group and study group according to random number table method,64 cases in each group.The control group was fixed with conventional right-angle"human"nose patch combined with pins for gastrointestinal decompression,while the study group was fixed with"visible round corner"nose patch combined with hemispherical mesh pocket.The frequency of nasal patch replacement,rate of gastrointestinal decompression device removal,rate of unplanned extubation,incidence of nasal skin adverse reactions,sleep conditions at different treatment times(at the first,third,and fifth day after catheterization),and comfort scores were compared between the two groups.Results The frequency of nasal and facial patch replacement,the rate of gastrointestinal decompression device shedding,the rate of unplanned extubation and the incidence of nasal skin adverse reactions in the study group were lower than those in the control group,with statistical significances(P<0.05).There were significant differences in sleep status between the two groups and each time points(P<0.05).The psychological,physiological,social,environmental,and overall scores of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The designed gastrointestinal decompression fixation method can effectively reduce the rate of unplanned extubation,improve the medical effect and patient comfort,and is worthy of clinical application and promotion.

Round horn nose patchMesh pocketGastrointestinal decompression

许彬娟、沈琼琏、严云晶、黄金穗

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杭州市临平区第一人民医院重症医学科,浙江杭州 311100

南昌大学第一附属医院护理部,江西南昌 330006

南昌医学院护理学院,江西南昌 330004

圆角鼻贴 网状兜 胃肠减压

江西省中医药局科技项目

2020B0004

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(7)
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