不同气道准备方式在ICU患者紧急气管插管中的应用效果  

Application effect of different airway preparation methods in emergency tracheal intubation in ICU patients

作　　者：孟海艳[1] 龙欣雨 高扬 季金芳[1] 吴洪磊[3] 陈新龙[1] MENG Hai-yan;LONG Xin-yu;GAO Yang;JI Jin-fang;WU Hong-lei;CHEN Xin-long(Department of Critical Care Medicine,The Affiliated Hospital of Nantong University,Nantong 226001,China;Coronary Care Unit,The Affiliated Hospital of Nantong University,Nantong 226001,China;Department of Neurology,The Affiliated Hospital of Nantong University,Nantong 226001,China)

机构地区：[1]江苏省南通大学附属医院重症医学科,江苏南通226001 [2]江苏省南通大学附属医院冠心病监护病房,江苏南通226001 [3]江苏省南通大学附属医院神经内科,江苏南通226001

出　　处：《实用医院临床杂志》2024年第5期173-176,共4页Practical Journal of Clinical Medicine

基　　金：江苏省研究生科研与实践创新计划项目(编号:SJCX21_1479)。

摘　　要：目的观察负压吸引牙刷在ICU患者紧急气管插管气道准备中的应用效果。方法95例在ICU需行紧急气管插管患者,按照随机数字表法分为对照组47例(UE视频喉镜)和试验组48例(负压吸引牙刷进行气道准备联合UE视频喉镜)。比较两组插管情况、气管插管并发症、炎性指标、麻醉准备时间与插管总时间。结果试验组暴露声门的平均时间、插管尝试次数、气管插管时间与对照组比较差异有统计学意义(P<0.05),两组首次气管插管成功率与气管插管并发症发生率比较,差异无统计学意义(P>0.05);试验组炎性指标C-反应蛋白、降钙素原均低于对照组(P<0.05),麻醉准备时间与插管总时间短于对照组(P<0.05)。结论ICU患者使用UE视频喉镜经口气管插管前先行使用负压吸引牙刷进行气道准备,更能快速清理气道分泌物,缩短暴露声门的平均时间,有助于判断麻醉准备效果,更容易辅助视频喉镜快速完成经口气管插管。Objective To observe the application effect of negative pressure suction toothbrush in the preparation of emergency tracheal intubation in ICU patients.Methods A total of 95 patients who required emergency tracheal intubation in the ICU were selected.The patients were divided into a control group(n=47)and an experimental group(n=48)by using random number table method.The control group was treated with UE video laryngoscope.The experimental group was treated with negative pressure suction toothbrush for airway preparation combined with UE video laryngoscope.The intubation conditions,complications of tracheal intubation,inflammatory markers,anesthesia preparation time,and total intubation time were compared between the two groups.Results There were significant differences in the average time to expose the glottis,intubation attempts,and tracheal intubation time between the two groups(P<0.05).There was no statistical significance in the first-time tracheal intubation success rate and the incidence of tracheal intubation complications between the two groups(P>0.05).The inflammatory markers such as C-reactive protein and procalcitonin in the experimental group were lower than those in the control group(P<0.05).The anesthesia preparation time and total intubation time in the experimental group were shorter than those in the control group(P<0.05).Conclusions In ICU patients,using UE video laryngoscope combined with a negative pressure suction toothbrush for airway preparation before oral tracheal intubation can more quickly clear the airway secretions,and shorten the average time to expose the glottis.Thus,it can help to assess anesthesia preparation,and make it easier to assist the video laryngoscope to quickly complete the oral tracheal intubation.

关 键 词：气道准备 负压吸引牙刷 UE视频喉镜 紧急气管插管 

分 类 号：R459.7[医药卫生—急诊医学]