目的 研究昏迷气管切开患者改良插胃管术的临床护理体会。方法 选择2015.1-2015.12我院收治施行插胃管的80例昏迷气管切开患者为研究对象。根据插管方式的不同分为两组，其中采用常规传统方法插胃管术的40例患者为对照组，采用改良插胃管术的40例患者作为观察组；观察两组患者一次插管成功率、术后24小时误吸与血氧饱和度下降的发生率。结果 观察组（改良法）一次置管成功率95.0%高于对照组的62.5%，观察组（改良法）患者插管术后24h内误吸发生率2.5%低于对照组的25.0%，观察组（改良法）血氧饱和度下降率12.5%低于对照组的80.0%，结果具有统计学意义（P＜0.05）。结论 昏迷气管切开患者实施改良后的插胃管术，提高了一次插管成功率，有效减少了反复插管，降低插管后不良反应发生率，减轻了患者的痛苦，值得临床应用及推广。

Objective:To study the clinical nursing for coma patients of receiving the tracheotomy upon the improvement of inserting gastric tube. Method:80 coma patients of receiving the tracheotomy from June 2015 to December 2015 in our hospital were selected. The gastric tube was inserted. The patients were divided into two groups according to different operation methods, 40 cases each group. The control group adopted the conventional methods of inserting gastric tube; the observation group adopted the improved methods of inserting gastric tube. The incidence of two groups of patients with a successful rate of intubation, 24 hours after aspiration and oxygen saturation were observed. Result:After operation, the one-time success rate for observation group (95.0%) was higher than that of control group (62.5%); within 24h, the incidence rate of aspiration for observation group (2.5%) was lower than that of control group (25.0%); the descent rate of oxygen saturation for observation group (12.5%) was lower than that of control group (80.0%)(P＜0.05).Conclusion: For coma patients of receiving the tracheotomy, the improvement of inserting gastric tube and clinical nursing can efficiently reduce the adverse event rate of repeated inserting of gastric tube, improve the one-time success rate 、to reduce the incidence of adverse reactions after intubation and reduce the patient’s pain. It is worthy of clinical application and promotion.