摘要
目的:研究经鼻与经口气管插管在呼吸衰竭患者中的治疗效果的对比观察。方法 :31例呼吸衰竭患者随机分为经鼻气管插管组(14例)、经口气管插管组(17例),分别简称经鼻组和经口组。经鼻组患者经鼻气管插管,经口组患者经口气管插管,观察两组患者治疗前后血气变化、置管时间、鼻窦炎感染情况、口腔护理彻底性、病人耐受度、意外拔管发生率等情况。结果:两组患者血气变化、鼻窦炎发生例数、置管合作程度方面无显著性差异,但在留管时间、口腔清洁程度、患者舒适度方面,经鼻气管插管组具有明显的优势。结论:对呼吸衰竭患者实施经鼻气管插管并机械通气的治疗措施,与经口气管插管比较,具有疗效肯定,能延长置管时间,改善口腔护理程度,有效防止口腔感染,使患者感觉舒适,防止意外拔管的优点,值得在临床上应用和推广。
Objective: To explore the clinical effect of nasotracheal or mouth intubati in patient with respiratory failure. Methods : 31 cases with respiratory failure were divided randomly into group nasotracheal (14 cases) , group mouth intubati (17 cases). Group na- sotracheal was treated with nasotracheal intubati , Group mouth intubati was treated with mouth intubation. The clinical features such as blood gas, placingtube time , nasosinusitis infection, the extent of mouth care, the tolerance of patients and incidence rate of unexpect- ed extubate were observed and compared in the two groups. Results: There were no significantly of the change of blood gas before and after the treatment between two group~ . There were no significantly of the case of nasosinusitis but there were significantly of the tracheal cannula keeping time and the depuratory of mouth cavity. Conclusion:Nasotracheal intubati on is definitely valuable for patient with respiratory failure. It is efficient and safe, and worthy of being recommended for use in clinical practice .
出处
《牡丹江医学院学报》
2012年第1期23-26,共4页
Journal of Mudanjiang Medical University
关键词
经鼻气管插管
鼻窦炎
意外拔管
Nasal trachea cannula
nasosinusitis
unexpected extubate