经鼻与经口气管插管危重病中对比研究  

Comparison between transnasal and transoral tracheal intubation in critical cases

作　　者：巨天赋[1] 胡琰[1] Ju Tianfu;Hu Yan(Department of Anesthesiology,Baiyin Branch of Gansu Province Hospital of traditional Chinese Medicine,Baiyin,730900,china)

机构地区：[1]甘肃省中医院白银分院

出　　处：《中国医学文摘（耳鼻咽喉科学）》2019年第5期342-343,346,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的对比经鼻气管插管和经口气管插管在危重病中的优缺点。方法选取2012年6月至2019年6月在我院重症医学科收治的危重病需气管插管患者47例,按气管插管方式分为经鼻气管插管组21例和经口气管插管组26例,观察两组患者的1次成功率、插管时间、过程中出现的并发症及气管插管后需气管切开的例数。结果二者置管时间经鼻100.80.85±20秒,经口60±15秒,P<0.05,二者一次插管成功率分别为76.2%和76.9%,P>0.05;插管过程中出现的并发症的发生率:经鼻组发生率为19.0%,经口组为42.30%,P<0.05,气管插管后需转气管切开经鼻比经口明显减少(P<0.01)。结论经鼻气管插管操作时间较经口气管插管长,但经鼻气管插管可降低气管切开的比例,减少并发症发生,值得在重症医学科推广。Objective To compare the advantages and disadvantages of transnasal tracheal intubation and transoral tracheal intubation in critical cases. Methods 47 cases of critically ill patients with tracheal intubation were selected from June 2012 to June 2019 in our hospital. They were divided into 21 cases of transnasal tracheal intubation and 26 cases of transoral tracheal intubation. To observe the success rate, intubation time, complications in the process and the number of cases requiring tracheotomy after tracheal intubation. Results Both tube time via nose 100.80.85±20 seconds, via mouth 60±15 seconds,P<0.05, the success rate of one intubation was 76.2 % and 76.9 %, P>0.05, respectively;Incidence of complications during intubation: the incidence of transnasal group is 19.0 %, the transoral group is 42.30 %,P<0.05 After tracheal intubation, transtracheotomy was required to significantly reduce the transnasal transnasal ratio(P<0.01): Conclusions The operation time of intubation is longer than that of the mouth, but nasal tracheal intubation can reduce the proportion of tracheotomy and reduce complications. It is worth promoting in the Department of severe diseases.

关 键 词：经鼻气管插管 经口气管插管 危重病 

分 类 号：R47[医药卫生—护理学]