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目的:探讨牵引提拉气管法在全麻下气管插管患者胃管置管术的应用价值。方法:120例患者随机分为常规组和实验组,每组60例,分别采用常规方法置管及牵引提拉气管法置管。比较2组患者置管一次成功率、并发症发生率、耗时和生命体征的变化。结果:实验组一次置管成功率、咽部出血、呛咳呕吐等均好于常规组,与常规组比较,差异有统计学意义(P<0.01)。同等条件下2组耗时比较,差异有统计学意义(P<0.001),实验组操作上非常迅速和便捷。实验组血氧饱和度、舒张压、心率与常规组比较,差异有统计学意义(P<0.05),说明置管时间的过长对血压稳定、血氧饱和度的迅速回复以及心率的平稳有明显影响。结论:牵引提拉气管法具有安全、高效、简单、便捷的特点,是一种新型的胃管置管方法。
Objective: To investigate the value of tracheal catheterization in tracheal intubation under general anesthesia. Methods: One hundred and twenty patients were randomly divided into routine group and experimental group, with 60 cases in each group. The patients were treated by conventional methods of catheterization and traction and tracheotomy. The success rate of catheterization, complication rate, time-consuming and vital signs of two groups were compared. Results: The success rate of primary catheterization, pharyngeal hemorrhage, cough and vomit in the experimental group were all better than those in the conventional group. The difference was statistically significant (P <0.01). Under the same conditions, the two groups of time-consuming comparison, the difference was statistically significant (P <0.001), experimental group operation is very fast and convenient. The oxygen saturation, diastolic blood pressure and heart rate of the experimental group were significantly different from those of the conventional group (P <0.05), indicating that the long time of catheterization had a significant effect on the stability of blood pressure, the rapid recovery of the oxygen saturation and the steady heart rate Clearly affected. Conclusion: Traction and pulling tracheal method is safe, efficient, simple and convenient. It is a new method of tube placement.