昏迷病人舌后坠两种院前急救处理方法的疗效观察  

Two kinds of prehospital emergency treatments to glossocoma in narcose patients

作　　者：钟新华[1] 陈华丽[1] 杨雪清[1] 

机构地区：[1]中山大学附属第三医院,广东广州510630

出　　处：《现代临床护理》2005年第6期54-55,共2页Modern Clinical Nursing

摘　　要：目的探讨昏迷病人舌后坠两种院前急救处理方法的疗效。方法总结1998年1月-2004年12月我院在急诊进行院前抢救行气道通气病人情况。随机抽取120例使用口咽通气管的昏迷病人作为A组,并对应地抽取120例使用传统通气方法的昏迷病人作为B组。结果两组病人置管成功率、管道脱出率和气道密闭性良好情况比较,经统计学分析,均P<0．01,差异有统计学意义。结论昏迷病人采用口咽通气管的置入方法,可改善昏迷病人舌后坠而引起的气道梗阻呼吸困难,且易置入及固定,省时省力。Objective To compare 2 kinds ofprehospital emergency treatments to glossocoma in narcose patients. Method 240 patients that received prehospital emergency airway treatments from January 1998 to December 2004 were chosen. 120 nareose patients were randomly allocated to group A, receiving oropharyngeal tube; accordingly, 120 narcose patients were randomly allocated to group B, receiving traditional airway treatment. The ratio of successfully inserting tube, the ratio of slipping out of the inserted tube and airtightness of the airway were compared between two groups. Results After statistical analysis, significant differences were found in the ratio of successfully inserting tube, the ratio of slipping out of the inserted tube, and airtightness of the airway between the two groups. Conclusion Inserting the oropharyngeal tube can alleviate the airway block by glossocoma in narcose oatients, and it is easier to be inserted and established.

关 键 词：昏迷病人 口咽通气管 院前急救 气道处理 

分 类 号：R459.7[医药卫生—急诊医学]