气管插管病人胃管置入方法研究

Intubated Patients Gastric Tube Placement Method

目的:探讨气管插管病人胃管置入方法。方法:将60例气管插管病人随机分为:头部前倾组(A组)和镇静状态下牵拉气管组(B组)各30例;观察并比较一次置管成功率,置管前后HR、SpO2及置管过程中呛咳发生率。结果:①一次置管成功率比较,B组显著高于A组(P<0.01)。②置管后HP、SpO2与各自置管前相比,A组置管过程中呛咳发生率显著高于B组(P<0.01)。结论:对气管插管病人在镇静状态下牵拉气管的同时置入胃管准确性高、不良反应少。

Objective： Investigate patients with gastric tube into the trachea intubation method. Methods ： 60 incubated patients were randomly divided into： head forward group （A） and tracheal traction under sedation group （B group）, 30 cases each; observe and compare the success rate for one time, catheter before and after HR , SpO2 and the catheter during the incidence of cough. Results： （1） compared the success rate of two groups, B group was significantly higher than group A （P 〈 0.01）. （2） Compared HP, SpO2 of before and after catheter insert, the rate of incident cough during catheter inserting of group A is significantly higher than that of group B （P〈 0.01）. Conclusion： To patients with insert trachea, intubation under sedation while pulling into the trachea tube will get higher accuracy and fewer adverse reactions.