经口气管插管两种固定方法的效果比较

Comparison on effects of two different ways of fixation of oral trachea cannula

[目的]探讨经口气管插管安全、有效的固定方法。[方法]将90例经口气管插管的清醒病人随机分为观察组和对照组,对照组采用胶布加寸带固定法,观察组采用寸带外套吸氧管固定法,比较两组移位发生率、舒适度和皮肤黏膜并发症的发生率。[结果]观察组舒适度明显优于对照组,移位发生率、皮肤黏膜并发症发生率低于对照组,差异均有统计学意义(P<0.05)。[结论]寸带外套吸氧管固定法安全、有效,口腔黏膜和面颊皮肤并发症少,优于胶布加寸带固定法。

Objective：To probe into a safe and effective method of fixation for oral trachea cannula.Methods：A total of 90 wake patients undergoing oral trachea cannula were randomly divided into test group and control group.Patients of control group adopted coated fabric combined with small band for fixation.However,patients of test group adopted small band covered with oxygen inhalation tube for fixation.Then the incidence of displacement,degree of comfort and incidence of skin mucosa complications of the two group cases were compared.Results：The degree of comfort of test group cases was better than that of control group cases.The incidence of displacement and incidence of skin mucosa complications of test group cases were lower than that of control group cases（P〈0.05）.Conclusion：Small band covered with oxygen inhalation tube fixation is safe and effective.It has a little of complications of oral mucosa and cheeks skin.And it is superior to coated fabric combined with small band fixation.