3D打印开口器在抢救脑外伤昏迷患者气管插管中的应用  

Application of 3D printing opener in the rescue of tracheal intubation in comatose patients with traumatic brain injury

作　　者：缪欣 黄玉菁[1] 郑宽 MIAO Xin;HUANG Yu-jing;ZHENG Kuan(Department of Neurosurgery,Ganzhou People's Hospital of Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市人民医院神经外科,341000

出　　处：《中国实用医药》2025年第3期45-48,共4页China Practical Medicine

基　　金：江西省赣州市科技计划项目(项目编号:GZ2021ZSF175)。

摘　　要：目的探讨3D打印开口器在抢救脑外伤昏迷患者气管插管中的应用效果。方法选取脑外伤昏迷患者68例,应用随机数字表法将患者分为观察组及对照组,每组34例。对照组采用常规开口器开口实施气管插管,观察组应用3D打印开口器开口实施气管插管。比较两组患者张口上下门齿距离、气管插管时间、并发症发生率、抢救满意度。结果观察组张口上下门齿间距(34.25±4.89)mm大于对照组的(24.98±4.33)mm,气管插管时间(3.98±0.89)min短于对照组的(8.25±1.23)min(P<0.05)。观察组牙齿松动发生率2.94%、牙齿损伤发生率2.94%、气管损伤发生率0低于对照组的20.59%、20.59%、17.65%,抢救满意度94.12%高于对照组的64.71%(P<0.05)。结论3D打印开口器能更快捷、安全、有效地对脑外伤昏迷患者进行气管插管,为患者抢救争取更多时间,提高患者救治效果,并能降低脑外伤昏迷患者开口时对口腔造成的损伤,减轻患者痛苦。Objective To explore the application effect of 3D printing opener in the rescue of tracheal intubation in comatose patients with traumatic brain injury.Methods 68 cases of comatose patients with traumatic brain injury were selected and divided into observation group and control group using random numerical table method,with 34 cases in each group.The control group used a conventional opener for tracheal intubation,and the observation group applied a 3D printing opener for tracheal intubation.The distance between upper and lower incisors,tracheal intubation time,complication rate and rescue satisfaction were compared between the two groups.Results The distance between upper and lower incisors was(34.25±4.89)mm in the observation group,which was greater than(24.98±4.33)mm in the control group;the tracheal intubation time was(3.98±0.89)min in the observation group,which was shorter than(8.25±1.23)min in the control group(P<0.05).The incidence of tooth loosening,tooth injury and tracheal injury in the observation group were 2.94%,2.94%and 0,which were lower than 20.59%,20.59%and 17.65%in the control group;the observation group had higher rescue satisfaction of 94.12%than 64.71%in the control group(P<0.05).Conclusion 3D printing opener can be faster,safer and more effective for tracheal intubation of comatose patients with traumatic brain injury,thus buying more time for patient resuscitation,improving the rescue effect,and reducing the damage to the oral cavity caused by the opening of comatose patients with traumatic brain injury,alleviating the pain of patients.

关 键 词：3D打印开口器 脑外伤 昏迷 气管插管 抢救满意度 

分 类 号：R651.15[医药卫生—外科学]