基于解剖结构的改良留置胃管法在重型颅脑外伤气管切开患者中的应用

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Abstract Objective To explore the application of modified gastric tube indwelling method based on anatomical structure in patients with severe traumatic brain injury with tracheotomy effect. Methods A retrospective analysis was performed on 98 patients with severe craniocerebral trauma treated in the Second Affiliated Hospital of Nanhua University from June 2019 to June 2020. According to the different methods of gastric tube implantation, they were divided into control group (45 cases) and observation group (53 cases). The control group received conventional nasogastric tube placement, while the observation group received modified indignant gastric tube placement based on anatomical structure. The indexes of nasogastric tube placement, the changes of vital signs before and during the intubation and the occurrence of adverse reactions were compared between the two groups. Results The first and total success rates of the observation group were higher than those of the control group, and the average time of the first gastric tube implantation was shorter than that of the control group, the differences were statistically significant (P＜0.05). There were no statistically significant differences in heart rate, mean arterial pressure, respiratory rate and blood oxygen saturation before catheterization between the two groups (P＞0.05). There were no significant differences in heart rate, mean arterial pressure, respiratory rate and blood oxygen saturation before and after catheterization in observation group (P＞0.05). In the control group, the heart rate, mean arterial pressure and respiratory rate were higher than those before catheterization,while the oxygen saturation was lower than those before catheterization, the differences were statistically significant (P＜0.05). The heart rate, mean arterial pressure and respiratory rate of patients in the observation group were lower than those in the control group, and oxygen saturation was higher than that in the control group, the differences were statistically significant (P＜0.05). The incidence of cough, nausea and vomiting and nasal mucosal injury in observation group were lower than those in control group, the differences were statistically significant (P＜0.05). Conclusion Compared with conventional gastric tube placement, the improved anatomical structure-based indwelling gastric tube method has a higher success rate, has less impact on the patients′ vital signs, and has a lower incidence of adverse reactions.

Key words： Modified indwelling gastric tube method Patients with severe traumatic brain injury tracheotomy Vital signs Adverse reactions

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	TANG Min

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TANG Min. Application of modified indwelling gastric tube method based on anatomical structure in patients with severe traumatic brain injury with tracheotomy[J]. 中国当代医药, 2022, 29(15): 51-54.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I15/51

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