两种不同经口置胃管方法的效果研究
置胃管法；方法；中毒；效果,,],置胃管法；方法；中毒；效果,1资料与方法,2结果,3讨论,[参考文献]
两种不同经口置胃管方法的效果研究 (pdf)[摘要] 目的 探讨对各种口服药物中毒且清醒患者采用2%利多卡因行咽喉部黏膜麻醉且增大咽喉弧度插胃管法的可行性。方法 将140例患者随机分为试验组和对照组各70例，试验组采用置管前使用2%利多卡因行咽喉部黏膜浸润麻醉，胃管插入10～15 cm时抬起头部使下颌骨贴近胸骨增大咽喉部弧度将胃管经口置入，对照组采用传统经口置入。结果 试验组一次插管成功率94.1%，对照组78.5%，P<0.01。 结论 对各种口服药物中毒且清醒的患者采用局部麻醉、增大咽喉部弧度经口置胃管法，不仅能提高一次插管成功率，且能缓解患者恐惧、减轻咽喉和胃肠道刺激征、增加舒适感。
[关键词] 置胃管法；方法；中毒；效果
Study on effects of two methods of gastric tube placing
ZHOU Ling,LIU Yaping,WANG Shunying,et al.The People’s Hospital of Dujiangyan,Sichuan 611830,China
[Abstract] Objective To investigate the feasibility of using 2% lidocaine to anesthetize the par laryngea pharynges and the intubation of augmenting throat radian for the patients who were poisoned by various kinds of orally drugs and were consciousness in Sichuan province. Methods 140 patients were divided into experiment group(70 patients) and control group(also 70 patients) in random.In the experiment group we anesthetize,in infiltrating manner,the par laryngea pharynges by 2% lidocaine before intubation,and elevate the head when the gastric canal was inserted 10～15 cm and make sure the mandible close to sternum to augment to radian of the par laryngea pharynges.In control group we adopted the traditional manner. Results The achievement ratio of experiment group is 94.1% and the control group is 78.5%,P<0.01.Conclusion Using the intubation of local anesthesia and the par laryngea pharynges enlargement,we not only can increase the achievement ratio,but also ease patients’ fear,lessen the irritation of throat and gastrointestinal tract and patient will feel more comfortable. ......
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