Effects of gastric tube indwelling with different lengths in patients with stroke
10.3760/cma.j.issn.1674-2907.2016.06.005
- VernacularTitle:脑卒中患者胃管留置不同长度的效果
- Author:
Hongmei CHEN
1
;
Hong LAN
;
Jinbin WU
;
Wei ZHANG
Author Information
1. 442000 十堰市太和医院 湖北医药学院附属医院 神经内科
- Keywords:
Stroke;
Length of gastric tube indwelling;
Complication
- From:
Chinese Journal of Modern Nursing
2016;22(6):761-765
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the gastric tube indwelling with different length, in order to find out the best length for stroke patients. Methods A total of 182 stroke patients with enteral nutrition by nasogastric tube were randomly assigned into control group (n=58), observation group A (n=60) and observation group B(n=64). The indwelling length of nasogastric tube was from eyebrows to earlap then mucronate cartilage in the control group (45-55 cm); based on this length, additional 15 cm was extended in observation group A (60-70 cm);the length for observation group B was 55-65 cm from eyebrows to navel. The situation of gastric tube inserting, the incidence of regurgitation, bucking and aspiration and the residual gastric volume in three groups were compared. Results A total of 53 cases (91. 38%) of the control group had gastric tube ends at the cardia;in the observation group, 44 cases (73. 33%) of group A had gastric tube ended at the pylorus, and 55 cases (85. 94%) of observation group B in the body of the stomach. The incidence of regurgitation, bucking and aspiration in observation group A and group B were both significant lower than those of the control group (P<0.01), but the residual gastric volumes in two groups were more than that of the control group (P <0. 01);there were no significant differences between group A and group B in residual gastric volume and the incidence of regurgitation, bucking and aspiration (P >0. 05). However, there were 8 cases (13. 33%) of gastric tube twisting or knotting in stomach in group A, and 2 cases ( 3. 33%) of gastric tube entering the duodenum. Conclusions Indwelling gastric tube with the length of 55 -65 cm ( from eyebrow to navel) is simple and reasonable for stroke patients in patients with different height, so it is worthy of promotion in clinical practice.
