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Open Access Article

International Journal of Internal Medicine. 2023; 4: (2) ; 4-6 ; DOI: 10.12208/j.ijim.20230016.

Effect of different length of gastric tube in gastrointestinal decompression for intestinal obstruction
肠梗阻胃肠减压治疗中不同胃管置入长度应用效果观察

作者: 李杰锋 *

河南永城市神火集团总医院普通外科 河南永城

*通讯作者: 李杰锋,单位:河南永城市神火集团总医院普通外科 河南永城;

发布时间: 2023-03-26 总浏览量: 518

摘要

目的 对临床肠梗阻患者实施胃肠减压治疗过程中不同胃管置入长度效果进行分析。方法 选择我院2022年1月至2023年1月前入院治疗的60例肠梗阻胃肠减压治疗患者为研究对象,以入院先后顺序均分为实验组和对照组,每组有30例患者。对照组患者在入院后进行减压治疗的过程中胃管置入长度为耳垂-鼻尖-剑突体表长度,试验组患者在治疗过程中置入长度进一步加入了发际,对两组患者不同置入长度下治疗效果进行对比。结果 在不同胃管置入长度下,与对照组换证相比较,试验组患者在治疗效果、胃管滞留时间、引流量、腹胀程度等各个方面表现明显更优,差异显著,P<0.05。结论 临床针对肠梗阻胃肠减压治疗患者理想滞留长度为耳垂-鼻尖-发际-剑突体。

关键词: 肠梗阻;胃肠减压;胃管置入;腹胀

Abstract

Objective To analyze the effect of different length of gastric tube placement during gastrointestinal decompression in patients with clinical ileus.
Methods A total of 60 patients with intestinal obstruction and gastrointestinal decompression admitted to our hospital from January 2022 to January 2023 were selected as research objects, and were divided into experimental group and control group according to the order of admission, with 30 patients in each group. In the process of decompression treatment after admission, the length of gastric tube placement in the control group was earlobe - nasal tip - xiphoid surface length, while in the experimental group, the length of gastric tube placement was further added to the hairline during treatment. The therapeutic effect of different placement lengths in the two groups was compared.
Results Under different length of gastric tube placement, compared with the control group, the experimental group showed significantly better performance in treatment effect, retention time of gastric tube, drainage volume, degree of abdominal distension and other aspects, with significant differences (P<0.05).
Conclusion   The ideal retention length for gastrointestinal decompression treatment of intestinal obstruction is earlobe - nasal tip - hairline - xiphoid body.

Key words: intestinal obstruction; Gastrointestinal decompression; Gastric tube placement; bloating

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引用本文

李杰锋, 肠梗阻胃肠减压治疗中不同胃管置入长度应用效果观察[J]. 国际内科前沿杂志, 2023; 4: (2) : 4-6.