两种开放气道方法用于舌后坠患者的临床观察

Clinical Observation of Different Method on Opening up the Airway of Patients with Tongue-fal

目的:比较全麻苏醒期患者发生舌后坠阻塞气道时采用两种不同方法开放气道的临床表现。方法:选择全麻苏醒期发生舌根后坠阻塞气道患者104例,将其随机分为A、B二组,A组采用头后仰、托下颌、患者肩部垫高的常规手法开放气道,辅助通气,B组采用放置口咽通气管的方法开放气道,辅助通气,观察比较并记录在进行两种不同开放气道操作时患者呕吐发生率、烦躁情况,通气效果。结果:两组患者的通气效果无明显差异;B组在放置口咽通气管时呕吐发生率明显高于A组,比较有统计学意义(P<0.05);A组的舒适情况明显好于B组,比较有统计学意义(P<0.05)。结论:常规手法开放气道操作简单、安全、有效、患者舒适、并能在瞬间完成操作为抢救患者赢得时间,降低了并发症的发生。

Objective：To compare clinical manifestations of the recovery from general anesthesia occurred in patients with tongue blocking the airway after the fall when using two different methods of opening up the airways.Method：104 patients with tongue recovery from general anesthesia occurred in patients with airway obstruction after the fall which were randomly divided into A,B groups,group A used conventional methods in patients with an open airway and assisted ventilation as head hypsokinesis,care jaw and shoulder booster.group B open the airway and assisted ventilation with the method of oropharyngeal snorkel,observe,record and compared the incidence of patients with vomiting,irritability situation,ventilation effect when opening the airway for two different operation.Result：Two groups of patients with no significant difference in ventilation effectiveness;the incidence of vomiting of group B was significantly higher than that in group A when oropharyngeal ventilation tube placement,the comparison was statistically significant （P 0.05）;group A was obviously better comfort than group B and comparison was statistically significant （P 0.05）.Conclusion：Opening up the airway with conventional methods is simple,safe,effective,patient comfort and can complete the operation in an instant to save the patient to gain time and reduce complications.