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目的分析洼田饮水试验判断脑卒中留置胃管患者拔管时机的效果。方法选取2016年1月—2017年8月收治的脑卒中留置胃管患者88例作为研究对象。将其随机分为对照组(遵医嘱拔除胃管)和治疗组(行洼田饮水试验),每组各44例。对比两组患者的拔管情况。结果治疗组患者的拔管率(95.5%)高于对照组,差异具有统计学意义(P<0.05);治疗组患者置管时间为(9.9±5.2)d,短于对照组,差异具有统计学意义(P<0.05);治疗组42例拔管患者,拔管时GCS评分高于置管前,差异具有统计学意义(P<0.05);拔管时洼田饮水试验分级1~2级。结论脑卒中患者GCS评分≥12分,洼田饮水试验分级1~2级时,即可拔除留置胃管,定期进行洼田饮水试验可及时拔管,减少置管时间。
Objective To analyze the effect of Kubota drinking water test in determining the timing of extubation in patients with cerebral infarction. Methods Totally 88 patients with cerebral infarction in our hospital from January 2016 to August 2017 were enrolled in this study. They were randomly divided into control group (according to the doctor’s order to remove the stomach) and the treatment group (line depression water test), 44 cases in each group. Compare the extubation situation of two groups of patients. Results The extubation rate (95.5%) in the treatment group was significantly higher than that in the control group (P <0.05). The duration of catheterization in the treatment group was (9.9 ± 5.2) days, which was shorter than that of the control group (P <0.05). In the treatment group, 42 patients with extubation had higher GCS score at extubation than that before catheterization (P <0.05) . Conclusions The GCS score of stroke patients ≥12 points and Wudang drinking water test grade 1 ~ 2 can be removed indwelling gastric tube regularly, and the Kubota drinking water test can be extubated regularly to reduce the catheterization time.