摘要
目的探讨更适合于清除气管插管气囊上滞留物的拔管方法。方法将101例拔管患者随机分为A组50例和B组51例。A组采用正压技术,即在患者吸气末应用简易呼吸器快速向气管插管内送气,同时放开气囊,将气囊上滞留物吹至口腔并及时吸净,再拔出气管插管。B组采用传统方法,放开气囊后,将吸痰管插入气管插管末端,边吸痰边拔除气管插管。观察2种清除气囊上滞留物的总量、生命体征变化及并发症发生的情况。结果对气囊上滞留物的清除效果A组优于B组,P〈0.05。结论采用简易呼吸器清除气囊上滞留物后拔管,清除较彻底,并发症少。
Objective In order to know the effects of different extubation methods to clean the secretion above balloon. Methods Divided 101 patients with endotracheal intubation into Group A（50 cases） and Group B （51 cases） randomly. Traditional extubtion method was used in Group B while improved extubation method was used in Group A. Compared the cleaning effects of secretion above balloon and the changes of patients＇ vital signs between the two groups. Results The cleaning effects of secretion above balloon in Group A was significantly better than that of in Group B. P〈0.05. Conclusion Improved extubation method can effectively improve the cleaning effects of secretion above balloon, and then avoid certain related complications.
关键词
气囊
滞留物
拔管
气管插管
Balloon
Secretion
Extubation
Endotracheal intubation
