胃管与咽反射的相关性研究

发布时间：2018-05-20 07:29

  本文选题：咽反射 + 视觉模拟标尺法　； 参考：《宁夏医科大学》2012年硕士论文

【摘要】：目的1.调查置胃管患者的精神状况及不适程度，分析影响其咽反射敏感度的因素，包括年龄、性别、城乡差距、文化程度、焦虑程度、吸烟史、既往置管史等，分析其原因，为选择性干预治疗提供依据。2.调查喉全切、OSAHS患者对置胃管各种不适的耐受程度，包括恶心、干呕、呛咳、咳嗽咳痰、口渴、口腔不适感等，，并分别对比置胃管时、留胃管第1天与留置胃管第3天患者的各种不适程度，分析影响患者不适程度及咽反射的因素，为食管音助发声器和咽通气道的临床推广和使用提供依据。 方法1.运用统计学方法，判断年龄、性别、城乡差异、文化程度、焦虑程度、吸烟史、既往置管史等因素对患者置胃管不适程度的影响，并分析其原因。2.将喉全切患者设为观察组Ⅰ，OSAHS患者设为观察组Ⅱ，其它患者设为对照组。用视觉模拟标尺法观察并记录患者在置胃管时、留置胃管第1天、留置胃管第3天的各种不适程度。运用统计学方法进行比较，判断喉全切、OSAHS患者的不适程度及咽反射敏感度。 结果1.年龄大，焦虑程度低、有既往置管史的患者置胃管时不适程度较低。年龄、性别、文化程度、吸烟史对置胃管时不适程度无明显影响。2.喉全切术后患者恶心、干呕、呛咳程度较对照组明显降低（P＜0.05），咳嗽咳痰症状较对照组严重（P＜0.05）。OSAHS患者恶心、干呕、呛咳程度均明显低于对照组（P＜0.05），随OSAHS病情加重，不适程度逐渐减轻。咳嗽咳痰、口渴、口腔不适感与对照组无差异（P＞0.05）。 结论1.年龄、焦虑程度、既往置管史为患者置胃管时不适程度的影响因素，对咽反射敏感度有影响。性别、城乡差异、文化程度、吸烟史不是患者置胃管时不适程度的影响因素。有无既往置管史可影响患者置胃管时的焦虑程度。2.喉全切术后患者恶心、干呕、呛咳程度降低，咽反射敏感度降低，咳嗽咳痰症状加重。OSAHS患者随病情加重，恶心、干呕、呛咳程度可逐渐降低，咽反射敏感度逐渐降低。随胃管使用时间延长，恶心、干呕、呛咳等与咽反射相关的不适程度降低，咽反射敏感度降低。
[Abstract]:Objective 1. To investigate the mental condition and discomfort of patients with gastric tube, and analyze the factors affecting the sensitivity of pharynx reflex, including age, sex, urban-rural gap, education, anxiety, smoking history, history of previous intubation, etc. To provide the basis for selective intervention therapy. To investigate the tolerance of OSAHS patients with total laryngectomy to various discomfort of gastric tube, including nausea, retching, cough, expectoration, thirst, oral discomfort and so on. All kinds of discomfort in patients with gastric tube on day 1 and day 3 were analyzed, and the factors affecting the degree of discomfort and pharyngeal reflex were analyzed to provide the basis for the clinical popularization and use of esophagus phonetic aids and pharyngeal airway. Method 1. The influence of age, sex, urban and rural differences, education level, anxiety degree, smoking history and history of previous catheterization on the degree of discomfort of patients with gastric catheterization was determined by statistical method, and the causes were analyzed. 2. The patients with total laryngectomy were divided into observation group 鈪

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