无创口咽呼吸道疏通支架的研制及临床应用观察

New Method for Preparation of No Wound Pharynx of Respiratory Dredge Stents and Its Clinical Application

目的通过一种下颌托起器在防治舌后坠病人中的使用来观察该发明专利的临床实用价值。方法将600例自主呼吸存在而因舌后坠导致呼吸困难的病人随机分为A组(150例)采取人工双手抬举下颌法、B组(150例)放置半硬式口鼻咽通气管或喉罩、C组(150例)采用气管插管或经皮气管切开、D组(150例)使用获得国家实用新型专利的下颌托起器四种不同的方法进行预防抢救治疗,记录缓解、好转、改变治疗方法及死亡例数。结果 A、D两组与B、C两组统计学处理均有显著差异(P<0.05)。A组与D组相比,在缓解、好转、改变措施、综合死亡例数方面统计学处理无显著性差异(P>0.05)。结论 D组充分利用机械原理解决了A组人工操作的人力与时效问题,在一定程度上解放了医护人员的体力,减轻了医护人员的劳动强度。

Objective Through a lonely jaw fell on the prevention and control of patients with tongue retropulsion used to observe the clinical value of invention patent.Methods The 600 cases of spontaneous breathing and fell by tongue retropulsion in difficulty breathing,the patients were randomly divided into A group（150 cases）taken artificial hands exalt mandible,group B（150 cases）taken half-hard mouth nasopharyngeal airway tubes or laryngeal mask,group C（150 cases）treated by endotracheal intubation or percutaneous trachea incision,group D（150 cases）used obtained national patent for utility model sunof the jaw.The four different methods were used to prevention and treatment of relief and rescue records,change the better treatments and death number.Results There were significant differences between group A,D and group B,C（P0.05）,but no significant differences were noted between group A and group D（P0.05）in palliation,improvement,comprehensive measures and death data.Conclusion Group D make full use of mechanical principle to solve human and limitation of manual operation of group A,to a certain extent,emancipate the medical staff from the hard work,reduce the physical labor intensity of the medical staff.