经鼻或口气管插管和气管切开在呼吸衰竭患者中的应用探讨

Study on clinical efficacy of nasotracheal or mouth intubation and tracheotomy in patient with respiratory failure

目的研究经鼻或口气管插管和气管切开在呼吸衰竭患者中的治疗效果。方法128例呼吸衰竭患者随机分为A(48例)、B(40例)、C(40例)三组,A组患者经鼻气管插管,B组患者经口气管插管,C组患者行气管切开,观察三组患者治疗前后血气变化、置管时间、肺部感染等情况。结果三组呼吸衰竭患者血气改善时间和血气变化无显著差异,但是A组具有置管时间短、肺部感染少和降低了死亡率等优点。结论经鼻气管插管对呼吸衰竭患者有更好的临床应用价值,安全有效,值得临床推广应用。

Objective To explore the clinical effect of nasotraeheal or mouth intubation and traeheotomy in patient with respiratory failure. Methods 128 cases with respiratory failure were divided randomly into group A （48 eases） , group B （40 eases）and group C （40 eases）. Group A was treated with nasotraeheal intubation, Group B was treated with mouth intubation and group C was treated with tracheotomy. The clinical features such as blood gas, plaeing-tube time and pulmonary infection were observed and compared in the three groups. Results There were no significantly of blood gas improvement time and change of blood gas before and after the treatment among the three groups. The group A using nasotraeheal intubation had shorter placing-tube time, fewer pulmonary infections and lower mortality rates compared with the other two. Conclusion Nasotraeheal intubation is definitely valuable for patient with respiratory failure. It is efficient and safe, and worthy of being recommended for use in clinical practiee.