冷冻与标准鼻胃管置入的随机临床试验。
A randomized, clinical trial of frozen versus standard nasogastric tube placement.
作者信息
Chun Duk-Hee, Kim Na Young, Shin Yang-Sik, Kim Soo Hwan
机构信息
Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, Sungnam, Korea.
出版信息
World J Surg. 2009 Sep;33(9):1789-92. doi: 10.1007/s00268-009-0144-x.
BACKGROUND
Insertion of a nasogastric tube (NGT) in an anesthetized, paralyzed, and intubated patient is difficult, and many methods have been proposed to aid in the procedure. We present a simple insertion technique.
METHODS
A silicone NGT was made rigid by filling it with distilled water and freezing it. Patients were randomized into either the control or the frozen group, and an NGT was inserted after intubation.
RESULTS
A total of 100 patients (50 in each group) were included in this study. The success rate increased significantly by making the tube more rigid (control:frozen = 58%:88%; p = 0.001). There was no difference between groups in the incidence of nasal bleeding.
CONCLUSIONS
A simple method of freezing an NGT with distilled water increased the success rate of insertion for intubated patients.
背景
在麻醉、瘫痪且已插管的患者中插入鼻胃管（NGT）很困难，人们提出了许多方法来辅助该操作。我们介绍一种简单的插入技术。
方法
通过向硅胶鼻胃管中注入蒸馏水并冷冻使其变硬。患者被随机分为对照组或冷冻组，插管后插入鼻胃管。
结果
本研究共纳入100例患者（每组50例）。通过使管子更硬，成功率显著提高（对照组：冷冻组 = 58%:88%；p = 0.001）。两组鼻出血发生率无差异。
结论
用蒸馏水冷冻鼻胃管的简单方法提高了插管患者的插入成功率。
Zotero 插件