经鼻腔气管插管固定器用于口腔颌面外科全麻患者鼻保护的效果评价  

Evaluation of nasal protection effect of transnasal tracheal intubation fixator in patients with general anesthesia in oral and maxillofacial surgery

作　　者：许鑫 夏明 金晨昱 周韧 徐辉[1] XU Xin;XIA Ming;JIN Chen-yu;ZHOU Ren;XU Hui(Department of Anesthesiology,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine.Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院麻醉科,上海200011

出　　处：《中国口腔颌面外科杂志》2023年第5期486-490,共5页China Journal of Oral and Maxillofacial Surgery

摘　　要：目的:探讨使用经鼻腔气管插管固定器对口腔颌面外科手术患者鼻保护的有效性。方法:选取择期行口腔颌面外科全麻手术的患者43例,分为试验组(22例)和对照组(21例)。试验组使用气管导管固定装置固定气管导管,对照组使用常规传统方法固定气管导管。记录固定气管导管后导管对鼻部压力值、固定气管导管用时、术后鼻部舒适度评分及压力性损伤发生情况。采用SPSS 27.0软件包对数据进行统计学分析。结果:试验组固定气管导管后导管对鼻部压力值为(1.30±0.19)N,对照组为(1.19±0.30)N,2组无显著差异(P=0.135)。试验组气管导管固定用时39.50 s,显著少于对照组的119.00 s(P<0.001);试验组术后24 h鼻部舒适度评分为1.00分,显著低于对照组的2.00分(P<0.01)。2组在压力性损伤发生率上无显著差异(P=0.215)。结论:与传统固定鼻导管方法相比,使用经鼻腔气管插管固定器对口腔颌面外科手术患者气管导管固定后,导管对鼻部的压力值无显著变化,但可缩短固定鼻导管用时和提高患者术后24 h的鼻部舒适度。PURPOSE:To investigate the effectiveness of nasal protection for patients undergoing oral and maxillofacial surgery with transnasal tracheal intubation fixator.METHODS:A total of 43 oral and maxillofacial surgery patients with general anesthesia were selected and divided into 2 groups:experimental group(n=22)and control group(n=21).After anesthesia induction,nasal tracheal intubation was performed.The transnasal tracheal intubation fixator was used in the experimental group,and the conventional method was used in the control group.The nasal pressure after fixation of tracheal catheter,the time used for fixation of tracheal catheter,the postoperative nasal comfort score and the occurrence of pressure injury were recorded.SPSS 27.0 software package was used for statistical analysis of the data.RESULTS:There was no significant difference in the nasal pressure of the tracheal catheter after fixation between the two groups(P=0.135),the pressure of the experimental group was(1.30±0.19)N,and that of the control group was(1.19±0.30)N.The time of tracheal tube fixation in the experimental group was 39.50 s,which was significantly less than that in the control group(119.00 s,P<0.001).The nasal comfort score of the experimental group was 1.00 points after 24 h,which was significantly lower than that of the control group(2.00 points,P<0.01).There was no significant difference in the incidence of stress injury between the two groups(P=0.215).CONCLUSIONS:Compared with traditional fixation of nasal catheter,the use of transnasal tracheal intubation fixator for patients with oral and maxillofacial surgery has no significant changes in the value of nasal catheter pressure after fixation of tracheal catheter,but it can shorten the time required by surgeons to fix the nasal catheter and reduce the nasal comfort score 24 h after surgery.

关 键 词：经鼻腔气管插管固定器 鼻翼压力 鼻损伤 口腔颌面外科手术 

分 类 号：R782.05[医药卫生—口腔医学]