促胃动力药在重症患者螺旋型鼻肠管置管中的应用及护理

摘要

Objective:To investigate the effect of gastroprakinetie in the intubation of spiral nasointestinal tube in critically ill patients and nursing effect.Methods:105 critically ill patients who would be given enteral nutrition support were randomly divided into the domperi-done medication group,metoclopramide medication group and the control group (35 cases in each group).The patients in the three groups were provided bedside intubation of spiral nasointestinal tube.The patients in the control group were not given any gastroprakinetie before and after intubation and the patients in the other two groups were respectively given domperidone and metoclopramide,the operation time of intubation,the number of attempts,the success rate and occurrence of complication were compared.Results:The success rate of intubation was higher in the domperidone medication group and metoclopramide medication group than the control group (P <0.05);the difference in the comparison of success rate of intubation was not statistically significant between the domperidone medication group and metoclopramide medication group (P >0.05);there was no statistically significant difference in the comparison of the incidence of complications in the three groups (P >0.05).Conclusion:Application of gastroprakinetie in the intubation of spiral nasointestinal tube in critically ill patients can improve the success rate and no obvious complications occurre.%目的：探讨促胃动力药对重症患者螺旋型鼻肠管的影响及护理效果。方法：选取105例需给予肠内营养支持的重症患者，随机分为多潘立酮组、甲氧氯普胺组和对照组，每组各35例。三组均采用被动等待法床边置入 CH10型复尔凯螺旋型鼻肠管，对照组置管前后均不给予促胃动力药，多潘立酮组患者给予促胃动力药多潘立酮，甲氧氯普胺组患者给予促胃动力药甲氧氯普胺，比较每组操作时间、尝试次数、成功率及并发症的发生情况。结果：多潘立酮组、甲氧氯普胺组成功率均高于对照组（P ＜0.05）；多潘立酮组与甲氧氯普胺组成功率比较差异无统计学意义（P ＞0．05）；多潘立酮组、甲氧氯普胺组和对照组并发症发生率比较差异无统计学意义（P ＞0．05）。结论：促胃动力药在重症患者螺旋型鼻肠管置管中的应用可提高成功率，无明显并发症发生。