标题：不同胃管置入长度对急性胰腺炎患者恢复的临床护理对照研究

      作者：扈玉红 1，杜红莲 2
    （1.河北北方学院附属第三医院重症监护病房(ICU)，河北 张家口 075000；
2.张家口市第五医院妇产科，河北 张家口 075000）

      卷次： 2014年25卷11期

      【摘要】 目的 探讨不同胃管置入长度对急性胰腺炎患者恢复的影响。方法 选取2010年8月至2012年
12月在我院治疗的急性水肿型胰腺炎患者63例，随机分成研究组（32例）与对照组（31例），两组患者入院后治疗
措施与用药情况均相同，对照组胃肠减压时胃管置入从患者耳垂-鼻尖-剑突，长度范围45~55 cm，研究组从患者
耳垂-鼻尖-剑突与肚脐连线中点(在之前基础上增加5~10 cm)。比较两组患者负压引出液体量、胃管阻塞情况、
腹部疼痛减轻所需时间、血清淀粉酶（AMS）指标达到正常所需时间以及患者入院时间。结果 研究组患者引出
液体量在800 ml以上的比率显著高于对照组，两组比较差异具有显著统计学意义(P<0.01)；研究组未发生胃管阻
塞，而对照组发生胃管阻塞的比率为12.9%，两组比较差异具有显著统计学意义(P<0.01)；研究组患者腹部疼痛减
轻时间、血清淀粉酶达标时间及住院时间均比对照组明显缩短，差异具有统计学意义(P<0.05)。结论 在常规胃
管置入的基础上，根据患者年龄、身高等情况适当增加胃管置入长度，能有效提高急性胰腺炎胃肠减压效果，对
减轻患者疾痛、促进患者早日恢复具有重要意义，值得临床借鉴。

      【关键词】 急性胰腺炎；胃肠减压；胃管置入长度；临床护理

      【中图分类号】 R473.6 【文献标识码】 A 【文章编号】 1003—6350（2014）11—1709—03


Comparative study of the influence of different length of gastric tube on the recovery of patients with acute
pancreatitis.
HU Yu-hong 1, DU Hong-lian 2. 1. Department of Intensive Care Unit, The Third Affiliated Hospital of
Hebei North University, Zhangjiakou 075000, Hebei, CHINA; 2. Department of Gynecology and Obstetrics, The Fifth
Hospital of Zhangjiakou, Zhangjiakou 075000, Hebei, CHINA

【Abstract】 Objective To explore the influence of different length of gastric tube on the recovery of patients
with acute pancreatitis. Methods 63 patients with acute edema type pancreatitis in our hospital from August 2010 to
December 2012 were randomly divided into research group (32 cases) and control group (31 cases). Patients from
each group received the same treatment and medications. In control group, the length of gastric tube was measured fol-
lowing the earlobe - tip - xiphoid sequence when the gastrointestinal decompression was carried out in patients. The
length of gastric tube ranged from 45 cm to 55 cm. In the research group, the length of gastric tube was measured fol-
lowing earlobe - tip - the attachment point of xiphoid and navel sequence (5-10 cm longer than the basic one). The liq-
uid volume sucked by vacuum aspiration, gastric tube obstruction, time required to reduce the abdominal pain, time re-
quired for serum amylase (AMS) to resume normal and patients' s hospitalization time in each group were compared.
Results The ratio of liquid volume sucked by vacuum aspiration in the research group was more than 800 ml, which