双套式气管插管的研制及其有效性研究  

Development and effectiveness of double-set endotracheal intubation

作　　者：盛晗 费叶萍 朱志红 步惠琴 王凌燕 王萍 王荣 孟秋月 Sheng Han;Fei Yeping;Zhu Zhihong;Bu Huiqin;Wang Lingyan;Wang Ping;Wang Rong;Meng Qiuyue(Intensive Care Unit,the First Hospital of Jiaxing/Afiliated Hospital of Jiaxing University,Jiaxing 314000,China)

机构地区：[1]嘉兴市第一医院/嘉兴大学附属医院ICU,嘉兴314000

出　　处：《中华现代护理杂志》2024年第36期5008-5012,共5页Chinese Journal of Modern Nursing

基　　金：嘉兴市科技计划(2022AY30015);嘉兴市医学重点学科-护理学(支撑学科)(2023-Zc-007)。

摘　　要：目的设计一种双套式气管插管并评价其使用效果。方法将气管插管与牙垫进行一体化,完成双套式气管插管的研制。采用便利抽样法,选择2023年11月—2024年7月嘉兴市第一医院ICU收治的60例气管插管患者为研究对象,按随机数字表法将其分为试验组(n=30)和对照组(n=30),试验组患者使用双套式气管插管,对照组患者使用普通气管插管。比较两组ICU患者气管插管周期内口腔黏膜压力性损伤及口腔溃疡发生情况、中文版改良Beck口腔评估量表评分、牙菌斑指数和气管插管置管时长。结果试验组患者气管插管置管时长短于对照组,差异有统计学意义(P<0.05)。试验组患者口腔黏膜压力性损伤及口腔溃疡的发生例数、中文版改良Beck口腔评估量表评分低于对照组,差异均有统计学意义(P<0.05),但在牙菌斑指数方面比较,差异无统计学意义(P>0.05)。结论双套式气管插管可有效提高ICU患者置管效率,减轻插管对口腔组织的局部压力,改善患者口腔情况,具有较好的临床效果。ObjectiveTo develop a double-set endotracheal intubation and evaluate its effectiveness.MethodsThe development of a double-set endotracheal intubation was achieved by integrating endotracheal intubation with dental pads.From November 2023 to July 2024,convenience sampling was used to select 60 patients with endotracheal intubation admitted to the ICU of the First Hospital of Jiaxing as participants.Patients were divided into an experimental group(n=30)and a control group(n=30)using a random number table method.Experimental group was treated with a double-set endotracheal intubation,while control group was treated with a regular endotracheal intubation.The incidence of oral mucosal membrane pressure injury and oral ulcers during endotracheal intubation,the Chinese version of the modified Beck Oral Assessment score,plaque index,and endotracheal intubation duration were compared between two groups of ICU patients.ResultsThe duration of endotracheal intubation in experimental group was shorter than that in control group(P<0.05),and the difference was statistically significant(P<0.05).The number of cases with oral mucosal membrane pressure injury and oral ulcers in experimental group,as well as the Chinese version of the modified Beck Oral Assessment score,were lower than those in control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the plaque index between two groups(P>0.05).ConclusionsDouble-set endotracheal intubation can effectively improve the efficiency of intubation in ICU patients,reduce the local pressure on oral tissues caused by intubation,improve the oral condition of patients,and have good clinical effects.

关 键 词：重症监护病房 牙垫 气管插管 研制 

分 类 号：R614[医药卫生—麻醉学]