Application of homemade guiding device in cerebral hemorrhage coma patients with difficulty in stomach intubation
10.3760/cma.j.issn.1674-2907.2017.30.018
- VernacularTitle:自制导引器在脑出血昏迷难置胃管患者中的应用
- Author:
Xiaojie CHEN
1
;
Wenxiu LI
;
Yingjie ZHANG
;
Jinchao ZHANG
;
Lingzhi LIN
Author Information
1. 河北医科大学附属哈励逊国际和平医院护理部
- Keywords:
Difficulty in stomach intubation;
Homemade guiding device;
Visual laryngoscope;
Glossoptosis
- From:
Chinese Journal of Modern Nursing
2017;23(30):3894-3897
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore suitable stomach intubation methods for patients with cerebral hemorrhage coma. Methods A total of 120 cases of cerebral hemorrhage coma patients treated in Harrison International Peace Hospital Affiliated to Hebei Medical University from January 2016 to June 2017 were selected and divided into 3 groups using random number table. Patients in 3 groups were applied with different stomach intubation methods. Group A used the conventional method; group B used the laryngoscope to direct the tube placement; group C used homemade guiding catheter. One-time success rates of catheter, incidence of adverse reactions and catheter time were compared between groups to explore reasonable methods for patients with cerebral hemorrhage coma. Results The one-time success rate of catheter of group C was higher than that of group B and group A; the difference was statistically significant (P<0.01). The incidence of adverse reactions in group C was lower compared with group A and group B (P<0.01), and catheter time of group C was shorter than that in group A and group B (P< 0.01). Conclusions Application of homemade guiding device in stomach intubation has a high success rate, can shorten the time of indwelling, and reduce the incidence of adverse reactions, so it is suitable for patients with intracerebral hemorrhage coma.
