Effects of three stomach tube fixationson UEX inpatients with abdominal surgery
10.3760/cma.j.issn.1674-2907.2016.32.039
- VernacularTitle:不同胃管固定方法对腹部手术患者术后非计划性拔管的影响
- Author:
Lin LI
1
;
Jiajia LIU
;
Haixia SONG
;
Yating WEN
;
Li ZANG
Author Information
1. 第四军医大学附属唐都医院普通外科
- Keywords:
Stomach tube fixation;
Stomach tube;
Abdominal surgery;
Unplanned extubation
- From:
Chinese Journal of Modern Nursing
2016;22(32):4724-4727
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of three stomach tube fixations on unplanned extubation (UEX) in patients with abdominal surgery.Methods Totally 135 patients with abdominal surgery who were admitted and treated in the department of general surgery of Tangdu hospital from December 2015 to April 2016 were selected as the research object,and were divided into three groups according to random number table,with 45 cases in each group.Group A adopted human-shape stomach tube fixation,and group B adopted double-T stomach tube fixation,while group C adopted modified double-T stomach tube fixation.The incideuce of UEX after abdominal surgery were comparedamong 3 groups.Results There were 14 cases of gastric tube slippage (31.11％) and 17 cases of stomach tube shift (37.78％) in the group A;there were 11 cases of gastric tube slippage (24.44％) and 13 cases of stomach tube shift (28.89％) in the group B;while there were 4 cases of gastric tube slippage (8.89％) and 5 cases of stomach tube shift (11.11％) in the group C (x2=6.939,8.640;P＜ 0.05).The rates of tube slippage and tube shift in the group C were lower than that in the group A (x2 =6.944,8.663;P＜0.017).Effective fixed time in the group C was longer than that in the group B and A (P＜ 0.017).Conclusions There is no obvious differences in reducing the incidence of UEX after abdominal surgery between " double T" type tube fixation and " human-shape type" tube fixation,but themodified double T tube fixation can effectively reduce complications of gastric tube UEX after abdominal surgery and it is easy to operate,and is worthy of promotion in clinical nursing service.
