ABSTRACT
Objective Comparative study of gastric tube implantation at different times in patients with invasive mechanical ventilation. Methods Random sampling was used to divide 160 patients who were incubated with mechanical ventilation at the hospital into two groups,There were 80 patients in each group. Two groups of patients were routinely placed gastric tube by a stationary nurse.The observation group was treated with ordinary silica gel stomach tube at early stage(immediately)after trachea cannula, the control group still used the ordinary silica gel stomach tube after the trachea cannula late (24 hours later).The one-time successful rate,the total successful rate,the operation time and the result of the two Methods were observed in the two groups. Results The observation group Placing stomach tube one-time successful rate and the total successful rate was 75% (60/80), 97.5% (78/80), significantly higher than the control group 27.5%(22/80),72.5%(58/80),the difference was statistically significant(χ2=36.12, 19.61,P<0.01).The operation time of gastric tube in observation group was(1.49 ± 0.45)min,which was significantly lower than that of control group(3.07 ± 0.32)min,the difference was statistically significant (t=25.48,P<0.01).The observation group only heard gurgling not pumped to the gastric juice of 10 cases (12.50%), only smoke into the gastric juice does not hear the gurgling in 0 cases, both in 70 cases (87.50%),both in 0 cases,the control group were 37 cases(46.25%),0 cases,40 cases(50.00%),3 cases (3.75%). There were significant differences between the 2 groups in determining the success of gastric tube placement,and the difference was statistically significant(χ2=39.36,P<0.01). Conclusions After the trachea cannula,the ordinary silica gel gastric tube was placed in the early stage(immediately),which improved the successful rate of gastric tube placement in the mechanical ventilation patients, Shortened the operation time,improved the work efficiency and alleviated the patient's pain.
ABSTRACT
Objective To study the application of stomach tube insertion in the lateral recumbent position in rescuing the unconscious patients,to reduce the discomfort of patients and increase the one-time success rate in the insertion of stomach tube. Methods 100 cases of unconscious patients were divided into the control group and the treatment group with 50 cases in each, they adopted routine tube insertion method and tube insertion in the lateral recumbent position.The success rate of tube insertion and incidence of complications were collected and analyzed in the two groups.Results The experimental group had a higher success rate and less complications compared with the control group.Conclusions The lateral recumbent position for stomach tube insertion is the ideal position for the unconscious patients.
ABSTRACT
Objective To discuss the method to increase the success rate of stomach tube insertion for patients with indwelling nasotracheal tube in order to shorten the time of insertion operation and reduce the discomfort of patients.Methods Seventy patients with nasotracheal tube were randomly divided into the observation group(38 cases)and the control group(32 cases).When the operator for the observation group inserted stomach tube to 18～22 centimeters deep,the nurse pumped the gas out from the tracheal catheter aerocyst.After the stomach tube reached stomach the tracheal catheter aerocyst was aerified again.The control group did not release the gas from tracheal catheter aerocyst when inserting the stomach tube.The first intubation success rate and time needed for intubation were compared between the two groups.Results The first intubation success rate of the observation group was higher than that of the control group(P＜0.05).While the time needed for intubation was shorter than that of the control group(P＜0.01).Conclusions Method used by the observation group not only increased the first intubation success rate,but also shortened time needed for intubation.This method can alleviated pain of patients and worth applying widely in clinic.
ABSTRACT
Background: In surgery for treating esophageal cancer, the esophageal plastic surgery with stomach tube is the operation of choice. However, there was high rate of anastomotic leakage in the esophageal plastic surgery with stomach tube with neck anastomosis. Objectives: to evaluate the result of the esophageal plastic surgery with isoperistaltic stomach tube. Subjectives and Method: a retrospective descriptive study was carried out on 94 patients with esophageal plastic surgery with isoperistaltic gastric tube at Department of Digestive Surgery, Viet Duc Hospital from January 1994 to June 2006. Results: among 94 patients of the study: 95 males (96.0%) and 4 women (4.0%). Mean age was 54.2 \ufffd?9.0. 98 cases was esophageal cancer (99%), 1 case of benign esophageal narrow due to scarring burns (1%). 31 cases of esophageal plasties with small stomach tube (31.3%), 68 cases of esophageal plasties with a large stomach tube (68.7%). The end-to-side anastomosis was done 95 times (96%), end-to-end anastomosis was done 4 times (4%). There were four deaths. 7 anastomotic leakage (7.1%), but not fatal. The postoperative complications included: 9 cases of respiratory complications (9.1%), 1 case of hypo-diaphragm abces (1%), 7 cases of incision infection (7%). 8 cases of anastomotic narrow (8.4%). 94 patients with normal stomach circulation (98.9%). 88 patients with normal eating (92.6%). Conlussions: the esophageal plastic surgery with isoperistaltic gastric tube was a safe method, with low rates of mortality, anastomotic leakage. Most patients with eating backed to normal.
Subject(s)
EsophagoplastyABSTRACT
OBJECTIVE To investigate the cause and prevention experience of acquired lung infection(ALI) in neurological medicine department for patients with indwelling stomach tube.METHODS Retrospective analysis proceeded for all patients with indwelling stomach tube in recently two years.RESULTS Among 113 patients,87 patients developed hospital infection in which 57 patients with indwelling stomach tube developed ALI,that occupied 65.52% of total patients developing hospital infection.CONCLUSIONS For the patients with indwelling stomach tube,inspiration and increasing incidence of retrograde infection from stomach to pharynx and lower respiratory tract in sequence are the main causes developing ALI.In addition,the use of anti-acid drugs,the unreasonable use of antibiotics,and the patients immunity status are the related factors developing ALI.Enhancement of prevention of respiratory tract infection in neurological medicine department for patients with indwelling stomach tube would effectively decrease the incidence of infection and enhance rehabilitation.