夏秋燕

[摘要] 目的 探讨吞咽石蜡油置胃管法的临床有效性研究。 方法 选择2019年1～11月进行治疗的患者90例作为对象，随机数字表分为对照组（n=45）和观察组（n=45）。对照组给予常规经鼻置胃管，观察组采用吞咽石蜡油置胃管法，比较两组患者的置管效果以及置管后不良并发症。 结果 观察组患者一次成功置管的例数显著高于对照组（P<0.05）。观察组患者置管过程中恶心、置管过程中呕吐的情况显著低于对照组（P<0.05）。观察组患者出现咽喉不适症状、声带沙哑症状、食道出血症状及鼻腔出血症状的情况显著低于对照组（P<0.05）。 结论 使用吞咽石蜡油置胃管法，有助于提高患者的置管成功率并减少了并发症，值得推广应用。

[关键词] 吞咽石蜡油置胃管法;常规经鼻置胃管;置管成功率;不良症状;临床应用

[中图分类号] R473          [文献标识码] B          [文章编号] 1673-9701（2020）16-0176-03

Research on clinical efficacy of setting gastric tube after swallowing paraffin oil

XIA Qiuyan

First Department of General Surgery， Jiujiang First People's Hospital in Jiangxi Province， Jiujiang   332000， China

[Abstract] Objective To explore the clinical efficacy of setting gastric tube after swallowing paraffin oil. Methods Ninety patients treated from January 2019 to November 2019 were selected as research subjects and were divided into the control group（n=45） and the observation group（n=45） by the random number table. Routine transnasal gastric catheterization was given to the control group， and the observation group adopted the method of setting gastric tube after swallowing paraffin oil. The catheterization effect and adverse complications after catheterization in the two groups were compared. Results The number of successful catheterization in one time in the observation group was significantly higher than that in the control group（P<0.05）. The incidences of nausea and vomiting during the catheterization in the observation group were significantly lower than those in the control group（P<0.05）. The incidences of laryngeal discomfort， hoarseness， esophageal bleeding and nasal bleeding in the observation group were significantly lower than those in the control group（P<0.05）. Conclusion The method of setting gastric tube after swallowing paraffin oil can improve the success rate of catheterization and reduce complications， which is worthy of popularization and application.

[Key words] Method of setting gastric tube after swallowing paraffin oil; Routine transnasal gastric catheterization; Success rate of catheterization; Adverse symptoms; Clinical application

胃置管是目前臨床医学较为常用的一种医疗技术，对于患者来说属于一种侵入式的操作。当前较为常见的胃置管方式以经鼻胃置管为主，这种方式难以一次性成功置管，患者在置管后还容易出现咽喉不适等不良症状[1-2]。而吞咽石蜡油置胃管法在常规置管方式上进行良好的改善，有效降低常规置管方式的弊端，且临床应用越发广泛[3]。但是当前对于此方面的研究较少，因此，本文采用随机对照方法进行研究，探讨吞咽石蜡油置胃管法的临床有效性研究，现报道如下。

1 资料与方法

1.1 临床资料

选择2019年1～11月进行治疗的患者90例作为对象，随机数字表分为对照组（n=45）和观察组（n=45）。对照组45例，男20例，女25例，年龄10～80岁，平均（45.22±6.01）岁。病理类型：创伤性蛛网膜下腔出血5例，颈脊髓损伤并截瘫5例，基底节出血4例，颈脊髓损伤6例，脑外伤术后3例，脑外伤后遗症2例，脑外伤、器质性精神障碍4例，脑出血4例，丘脑出血2例，染料中毒性脑病2例，一氧化碳中毒迟发性脑病7例，脑梗死1例。……