本文選題：咽反射 + 視覺模擬標(biāo)尺法�。� 參考：《寧夏醫(yī)科大學(xué)》2012年碩士論文

【摘要】：目的1.調(diào)查置胃管患者的精神狀況及不適程度，分析影響其咽反射敏感度的因素，包括年齡、性別、城鄉(xiāng)差距、文化程度、焦慮程度、吸煙史、既往置管史等，分析其原因，為選擇性干預(yù)治療提供依據(jù)。2.調(diào)查喉全切、OSAHS患者對置胃管各種不適的耐受程度，包括惡心、干嘔、嗆咳、咳嗽咳痰、口渴、口腔不適感等，，并分別對比置胃管時、留胃管第1天與留置胃管第3天患者的各種不適程度，分析影響患者不適程度及咽反射的因素，為食管音助發(fā)聲器和咽通氣道的臨床推廣和使用提供依據(jù)。 方法1.運(yùn)用統(tǒng)計學(xué)方法，判斷年齡、性別、城鄉(xiāng)差異、文化程度、焦慮程度、吸煙史、既往置管史等因素對患者置胃管不適程度的影響，并分析其原因。2.將喉全切患者設(shè)為觀察組Ⅰ，OSAHS患者設(shè)為觀察組Ⅱ，其它患者設(shè)為對照組。用視覺模擬標(biāo)尺法觀察并記錄患者在置胃管時、留置胃管第1天、留置胃管第3天的各種不適程度。運(yùn)用統(tǒng)計學(xué)方法進(jìn)行比較，判斷喉全切、OSAHS患者的不適程度及咽反射敏感度。 結(jié)果1.年齡大，焦慮程度低、有既往置管史的患者置胃管時不適程度較低。年齡、性別、文化程度、吸煙史對置胃管時不適程度無明顯影響。2.喉全切術(shù)后患者惡心、干嘔、嗆咳程度較對照組明顯降低（P＜0.05），咳嗽咳痰癥狀較對照組嚴(yán)重（P＜0.05）。OSAHS患者惡心、干嘔、嗆咳程度均明顯低于對照組（P＜0.05），隨OSAHS病情加重，不適程度逐漸減輕�？人钥忍�、口渴、口腔不適感與對照組無差異（P＞0.05）。 結(jié)論1.年齡、焦慮程度、既往置管史為患者置胃管時不適程度的影響因素，對咽反射敏感度有影響。性別、城鄉(xiāng)差異、文化程度、吸煙史不是患者置胃管時不適程度的影響因素。有無既往置管史可影響患者置胃管時的焦慮程度。2.喉全切術(shù)后患者惡心、干嘔、嗆咳程度降低，咽反射敏感度降低，咳嗽咳痰癥狀加重。OSAHS患者隨病情加重，惡心、干嘔、嗆咳程度可逐漸降低，咽反射敏感度逐漸降低。隨胃管使用時間延長，惡心、干嘔、嗆咳等與咽反射相關(guān)的不適程度降低，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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