经鼻与经口气管插管对COPD抢救的临床疗效观察

Comparison of the clinical effect on rescuing COPD between endotracheal intubation via nose and via mouth

目的:探讨经鼻和经口气管插管的临床应用价值。方法:选择ICU呼吸衰竭需气管插管患者65例次,随机分成经鼻气管插管组(A组)和经口气管插管组(B组)进行气管插管机械通气,比较2组的插管时间、主要并发症。结果:经鼻气管插管34例次,经口气管插管31例次;插管时间、插管即时并发症例次及主要并发症方面的比较,经口插管组优于经鼻插管组。有统计学意义(P<0.05)。结论:气管插管首选经口插管,但经鼻气管插管因患者耐受性好、留管时间较长,是ICU治疗COPD反复发作,考虑需多次插管或病人及家属不愿意气管切开时的必要补充。

[Objective]To explore the clinical application value of endotracheal intubation via nose and via mouth..[Method] 65 cases of respiratory failure who needed endotracheal intubation were selected,and randomly arranged to endotracheal intubation via nose group(group A,34 cases) and endotracheal intubation via mouth group(group B,31cases).After endotracheal intubation all cases were undergone mechanical ventilation.We also compared the tube indwell time and major complications between two groups.[Result]For all the tube indwell time,intubation immediate complications and intubation major complications, endotracheal intubation via mouth has more advantages than endotracheal intubation via nose,with statistic meaning(p< 0.05).[Conclusions]Endotracheal intubation via mouth could be the first choice in rescuing COPD patients with ARF,but COPD patients can tolerate well to endotracheal intubation via nose and the tube can indwell longer.so endotracheal intubation via nose could be a supplement for those COPD patients who need repeatedly tracheal intubation and,patients or relatives refuse tracheostomy.