原创《应用胃镜润滑胶浆对三腔二囊管置管效果的影响》：本论文为您写胃镜毕业论文范文和职称论文提供相关论文参考文献，可免费下载。
【摘 要】 目的 探讨三腔二囊管更好的置管方法,提高三腔二囊管的应用水平.方法 将60 例食管胃底静脉曲张破裂出血患者随机分为两组,实验组30例,口服胃镜润滑胶浆后置三腔二囊管压迫止血,常规组30例,给予常规置三腔二囊管压迫止血.对比观察两组患者置管反应程度及一次置管成功率.结果 实验组置管反应程度显著轻于常规组（P＜0.01）.实验组的一次置管成功率为100%,显著高于常规组的76.6%（P＜0.05）.结论 应用胃镜润滑胶浆能减轻胃管刺激反应程度,提高三腔二囊管一次插管成功率,可在临床中推广应用.
【关键词】 胃镜润滑胶浆；三腔二囊管；食管胃底静脉曲张破裂出血
文章编号：1003-1383(2012)04-0461-02
中图分类号：R 472.9 文献标识码：A
doi:10.3969/j.issn.1003-1383.2012.04.003
Influence of gastroscope lubrication mucilage on the effect of placing Sengstaken-Blakemore tube
QIN Min,XU Huiquan,LI Youzhu
（The 1st Ward,Department of Gastroenterology,Liuzhou People’s Hospital, Liuzhou 545006,Guangxi）
【Abstract】 Objective To investigate a better method of placing Sengstaken-Blakemore tube so as to improve the application of Sengstaken-Blakemore tube.
Methods 60 cases with gastroesophageal gastric variceal hemorrhage were randomly divided into the experimental group and the conventional group with 30 cases in each group. The experimental group were stanched by placing Sengstaken-Blakemore tube after taking gastroscope lubrication mucilage and the conventional group were only treated by Sengstaken-Blakemore tube.The reaction of patients and the success rate of placing tubes were observed and compared.
Results The reaction of patients in the experimental group was significantly lighter than that of the conventional group(P＜0.01).The success rate of placing tube in the experimental group was 100%,significantly higher than that of the conventional group,76.6%(P＜0.05).
ConclusionThe application of gastroscopy lubrication mucilage can alleviate the stimulating reaction of patients and raise the success rate of placing Sengstaken-Blakemore tube once in clinical practice. It is worth clinical application.
【Key words】 gastroscope lubrication mucilage;Sengstaken-Blakemore tube; gastroesophageal astric variceal hemorrhage
食管胃底静脉曲张破裂出血起病急、出血量大、病势凶险、预后极差,是肝门脉高压症的严重并发症,也是肝硬化患者的主要死因［1］.通常该类出血在使用止血药物的同时,必须及时采取有效的物理止血方法如三腔二囊管压迫止血［2］.但置管的刺激导致置管困难、病人恶心、呕吐、甚至发生呼吸困难、误吸等问题影响抢救.2008年2月～2011年12月我院应用胃镜胶浆提高了三腔二囊管置管成功率,为病人赢做到了抢救的时间,现报告如下.
资料和方法
1.一般资料 本研究选取肝硬化及门脉高压引起上消化道大出血病人60例,随机分为两组,常规组30例,男24例,女性6例,年龄34～81岁,平均54岁,首次出血25例,二次出血5例；实验组30例,男26 例,女性4例,年龄38～77岁,平均53岁,首次出血27例,二次出血3例.两组患者的性别、年龄、出血次数等一般资料比较差异均无统计学意义（P＞0.05）,具有可比性.
2.置管方法
（1）常规组进行常规置管：根据操作规程,尽可能向病人讲解置管的目的、过程,以及置管中可能出现的不适感,尽量消除病人紧张情绪,取做到病人的良好配合,以免反复置管增加痛苦.检测气囊的注气量及压力,然后将气囊内气体抽尽,在三腔二囊管远端及气囊表面涂上液状石蜡油,指导病人口服液状石蜡油约30 ml,将三腔二囊管从鼻孔轻轻插入,插至15～20 cm（咽部）时,嘱病人做吞咽动作.若病人不能配合,则待病人有恶心、呕吐动作时,顺势缓慢插入,并密切观察病人的呼吸情况,当管插入约至65 cm（胃窦部）时,用注射器回抽见胃液,同时抽出胃内容物和积血,并用盐水冲洗干净,然后注气、固定、牵引、记录.
胃镜论文参考资料：
结论：应用胃镜润滑胶浆对三腔二囊管置管效果的影响为关于对不知道怎么写胃镜论文范文课题研究的大学硕士、相关本科毕业论文胃镜论文开题报告范文和文献综述及职称论文的作为参考文献资料下载。
