Effect of nasal decontamination on elderly patients with long-term indwelling nasogastric tube
10.3760/cma.j.issn.1008-6706.2016.18.024
- VernacularTitle:鼻腔脱污治疗对长期留置鼻胃管老年患者的临床疗效观察
- Author:
Ying PAN
;
Bin WANG
- Publication Type:Journal Article
- Keywords:
Nasal decontamination;
Indwelling nasogastric tube;
Complication;
Aged patients
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(18):2810-2813
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of nasal decontamination on clinical index of elderly patients with long -term indwelling nasogastric tube.Methods 89 elderly patients with long -term indwelling nasogastric tube were randomly divided into nasal decontamination group and routine treatment group.The sputum culture positive rate of bacterial and the incidence of pulmonary complications,pharyngitis,sinusitis of the two groups were observed. Results Sputum Staphylococcus aureus positive rates in the nasal decontamination group and conventional group were 13.043% (6 cases)and 39.535% (17 cases)respectively,the difference was significant(χ2 =8.139,P =0.004).The incidence rates of pulmonary infection in the nasal decontamination group and conventional group were 4.348% (2 cases)and 18.605% (8 cases)respectively,the difference was significant(χ2 =4.529,P =0.033). The incidence rates of pharyngitis in the nasal decontamination group and conventional group were 10.870%(5 cases)and 37.209% (16 cases) respectively,the difference was significant (χ2 =8.553,P =0.003 ). Conclusion Nasal decontamination can decrease the positive rate of sputum bacterial culture,the incidence of pulmonary infection and pharyngitis in elderly patients with long -term indwelling nasogastric tube.For its efficacy and safety,it deserves clinical application.
