口腔颌面外科手术困难气管插管的护理配合分析  

Nursing cooperation analysis of difficult tracheal intubation in oral and maxillofacial surgery

作　　者：高琪 林洁 GAO Qi;LIN Jie(Department of Anesthesia,the 966th Hospital of Chinese People's Liberation Army Joint Logistic Support Force,Liaoning Province,Dandong 118000,China)

机构地区：[1]中国人民解放军联勤保障部队第九六六医院麻醉科,辽宁丹东118000

出　　处：《中国当代医药》2023年第26期186-189,共4页China Modern Medicine

摘　　要：目的探讨口腔颌面外科手术困难气管插管的有效护理配合措施。方法选取2020年1月至2022年6月中国人民解放军联勤保障部队第九六六医院收治的50例口腔颌面外科手术患者作为研究对象,采用随机数字表法分为观察组和对照组,每组各25例。观察组采用困难气管插管配合护理,对照组采用常规护理。比较两组的困难气管插管成功率、困难气管插管后并发症发生率。结果观察组护理后的困难气管一次插管成功率高于对照组,差异有统计学意义(P<0.05);观察组护理后的困难气管多次插管成功率高于对照组,差异有统计学意义(P<0.05);观察组护理后的困难气管插管失败率低于对照组,差异有统计学意义(P<0.05);观察组护理后的困难气管插管并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论在口腔颌面外科手术中,针对困难气管插管患者实施配合护理干预,能够有效提高插管成功率,降低困难气管插管后相关并发症发生率,效果显著,可参考应用。Objective To explore the effective nursing cooperation measures for difficult tracheal intubation in oral and maxillofacial surgery.Methods A total of 50 patients with oral and maxillofacial surgery in the 966th Hospital of Chinese People's Liberation Army Joint Logistic Support Force from January 2020 to June 2022 were selected as the study subjects.They were divided into observation group and control group by random number table method,with 25 patients in each group.The observation group was treated with difficult tracheal intubation,and the control group was treated with routine nursing.The success rate of difficult tracheal intubation and the complication rate after difficult tracheal intubation were compared between the two groups.Results The success rate of difficult tracheal intubation in the observation group after nursing was higher than that in the control group,and the difference was statistically significant(P<0.05).The failure rate of difficult tracheal intubation in the observation group after nursing was lower than that in the control group,and the difference was statistically significant(P<0.05).The total complication rate of difficult tracheal intubation in the observation group after nursing was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion In oral and maxillofacial surgery,cooperative nursing intervention for patients with difficult tracheal intubation can effectively improve the success rate of intubation and reduce the incidence of related complications after difficult tracheal intubation,with significant effect,which can be used for reference.

关 键 词：口腔颌面 外科手术 困难气管插管 护理配合 

分 类 号：R473[医药卫生—护理学]