加强型鼻咽通气道应用于鼻腔手术后气道管理临床研究  

Clinical study on application of enhanced nasopharyngeal airway in airway management after nasal cavity operation

作　　者：赵红炜 杨承祥 杨日辉 范海生 朱幼枝 崔秀联 林清泳 俞建国 

机构地区：[1]佛山市南海第二人民医院麻醉科,广东525100 [2]佛山市南海第二人民医院耳鼻喉科,广东525100 [3]佛山市南海第二人民医院手术室,广东525100 [4]佛山市第一人民医院麻醉科,广东528000

出　　处：《现代医药卫生》2016年第4期484-486,共3页Journal of Modern Medicine & Health

基　　金：广东省度佛山市医学类科技攻关项目(201308152)

摘　　要：目的研制加强型鼻咽通气道应用于五官科鼻腔手术后的气道管理。方法选取2014年1月至2015年3月行五官科鼻腔手术的患者60例,将其分为A组和B组,各30例。A组作为加强型鼻咽通气道组,术毕在膨胀止血海绵中放置加强型鼻咽通气道保留鼻腔通气;B组作为对照组,术毕采用传统单纯填塞膨胀止血海绵。通过术后24、48 h随访,对两组患者进行疼痛、睡眠质量、口干程度评分,并对其进行对比分析。结果加强型鼻咽通气道具有良好的抗压抗折性;A组患者24、48 h睡眠质量、口干程度评分均明显优于B组,差异均有统计学意义(P<0.05)。结论加强型鼻咽通气道用于五官科鼻腔手术后气道管理可增强气道管理安全性及患者舒适度。Objective To study the application of enhanced nasopharyngeal airway in the nasal airway management after nasal cavity operation in the ENT department. Methods A total of 60 cases of ENT nasal cavity operation from January 2014 to March 2015 were selected and divided into the group A and B,30 cases in each group. In the group A as the enhanced nasopharyngeal airway,the enhanced nasopharyngeal airway was placed in the inflation hemostatic sponge at the end of operation;while in the group B as the control group,the traditional simple inflation hemostatic sponge was adopted at the end of operation. The pain score,sleep quality score and thirstiness score were performed at postoperative 24,48 h follow up. The obtained score data were performed the contrastive analysis. Results The enhanced nasopharyngeal airway had good anti-compressive and anti-fold capability;the sleep quality score,thirstiness score at 24,48 h in the group A were significantly superior to the group B,the differences were statistically significant（P〈0.05）. Conclusion Applying the enhanced nasopharyngeal airway in the airway management after ENT nasal cavity operation can increase the safety of airway management and patient′s comfort degree.

关 键 词：鼻腔手术 加强型鼻烟通 气道管理 鼻腔填塞物 通气效果 

分 类 号：R782.05[医药卫生—口腔医学]