【摘要】 目的探讨通过双管喉罩给危重患者留置螺旋型鼻肠管的可行性。方法选取2011年6月~2014年8月入住我院需要留置螺旋型鼻肠管进行肠内营养的危重患者,根据置管方法将患者分为喉罩组(40例)、对照组(40例)。比较两组患者置管效率、置管前后血压、心率变化及并发症。结果喉罩组在置管效率、置管前后患者生命体征变化及并发症各方面均优于对照组,差异具有统计学意义(P<0.05)。结论通过双管喉罩留置螺旋型鼻肠管相对于经口留置效率更高,患者生命体征波动小,并发症少,可在需要实施肠内营养的危重患者中使用。更多还原

【Abstract】 Objective To evaluate the feasibility of indwelling spiral nasointestinal tube through the proseal laryngeal mask airwary in critical patients. Methods According to the method of indewelling catheter, critical patients from June2011 to August 2014 admitted in our hospital who need enteral nutrition with use of spiral nasointestinal tube were divided into PLMA group(40 cases), control group(40 cases). The effciency of insertion, blood pressure and heart rate before and after indwelling tube, complications of two groups were compared. Results The effciency of insertion,changes of vital signs and complications in PLMA group were better than those in control group(P<0.05). Conclusion Indwelling spiral nasointestinal tube through the proseal laryngeal mask airwary have higher efficiency, smaller fluctuations of vital signs in patients, fewer complications with respect to through mouth, that can be used in critial patients who need to implement enteral nutrition.更多还原