以气管导管为导芯更换气管切开套管法的效果评价  

Evaluation of the Effect of Endotracheal Intubation as the Guide Core in the Replacement of Tracheotomy Tube

作　　者：叶朝红[1] 潘桂琼 赵燕红 

机构地区：[1]广东省云浮市疾病预防控制中心,广东云浮527300 [2]广东省新兴县人民医院,广东新兴207400

出　　处：《中国医药指南》2017年第15期4-5,共2页Guide of China Medicine

摘　　要：目的评价以气管导管为导芯更换气管切开套管法的效果,探讨更换气管套管的有效方法,减少患者不适。方法将60例需更换气管切开套管的患者随机分为观察组和对照组各30例,观察组利用气管导管为导芯,更换气管套管;对照组采用传统方法更换气管切开套管。观察两组患者换管成功率、换管时间及换管期间出现呼吸困难、心率失常和血氧饱和度降低的情况。结果观察组换管成功率和换管时间均优于对照组,观察组换管期间的呼吸困难、心率失常和血氧饱和度降低的发生率与对照组比较明显差异(P<0.01),具有统计学意义。结论用气管导管为导芯更换气切套管可显著提高换管成功率和缩短换管时间,有效降低因换管诱发的缺氧并发症,减少患者不适,值得临床推广。Objective Evaluation to the endotraeheal tube for replacing trachea cannula method effect of tracheostomy tube replacement is an effective method to reduce discomfort to the patient. Methods 60 cases of replacing trachea cannula patients were randomly divided into the observation group and the control group with 30 cases in each group, the observation group use of endotracheal tube for tracheal cannula, replacement ; the control group using traditional methods to replace trachea eannula.Two groups were observed in patients with tube exchange success rate, tube replacement time and change the tube during breathing, arrhythmia and decreased oxygen saturation condition. Results The observation group tube exchange success rate and tube changing time was better than the control group, the observation group change during tube difficulty breathing, arrhythmia and lowered oxygen saturation rate compared with the control group significantly （P〈0.01）, with statistical significance.Conclusion the endotracheal tube for replacing tracheostomy tube can significantly improve the tube exchange success rate and a shorter tube replacement time, effectively reduce because of changing tube induced hypoxic complications, reduce patient discomfort, worthy of clinical application.

关 键 词：气管切开术 气管切开套管 气管导管 效果 

分 类 号：R473[医药卫生—护理学]