摘要
目的探讨呼气末快速置胃管法在脑卒中昏迷患者中应用的优越性。方法将92例脑卒中昏迷患者随机分为实验组和对照组各46例，分别使用呼气末快速置胃管法和传统法置胃管。记录2组置胃管成功的次数、置管操作所需时间、并发症及患者的生理参数。结果实验组置管一次成功率明显高于对照组（P〈0．01），插胃管时间和心率变化明显少于对照组，且并发症的发生率也明显低于对照组（P〈0.01）。结论呼气末置胃管法具有成功率高、简单易行、并发症少的特点，明显优于传统法，值得临床推广。
Objective To discuss the excellence of using end-expiratory quickly in tubation in coma patients with cerebral apoplexy. Methods Divided 92 coma patients with cerebral apoplexy into the quick intubation group and the traditional intubation group randomly, there were 46 cases in each group. Compared the successful intuhation rate, intubation time, incidence rate of complications and related physiology parameter of patients between the two groups. Results All the indexes mentioned above were better in the quick intubation group than those of in the traditional intubation group,P〈0.01. Conclusions End-expiratory quick intubation for coma patients with cerebral apoplexy can effectively improve the successful rate of intubation with little complications, which can be used widely in clinical practice.
关键词
脑卒中
昏迷
呼气末
置管
Cerebral apoplexy
Coma
End-expiratory
Intubation
