新生儿经口气管插管导管放置部位的效果比较

Comparison of Effect on Two Placement Sites of the Catheter in Neonatal Orotracheal Intubation

目的观察新生儿经口气管插管导管放置部位(放置一侧口角和放在上唇正中)与保留天数的关系。方法选择在我科行经口气管插管机械通气的新生儿60例为研究对象,分为试验组和对照组。对照组(30例)气管插管导管放置于上唇正中;试验组(30例)导管放置一侧口角。对比两组平均留置天数和脱管率。结果气管插管导管放置一侧口角(试验组)留置天数约为(4.53±1.11)d,明显优于放在上唇正中(对照组)留置天数(2.76±0.98)d,且试验组的总脱管率仅为16.7%,远低于试验组的43.3%,两组差异有统计学意义(P<0.05)。结论新生儿经口气管插管放置一侧口角固定是安全、能可靠固定,减少脱管的一种有效方法。

Objective To observe the reserve days of the catheter at two different placement sites in neonatal orotracheal intubation.Methods Selected 60 cases of newborn with orotracheal intubation treated in our hospital,divided into the test group（30 cases） and control group（30 cases）.The control group placed the catheter at the median of upper lip,and the test group placed catheter at angulus oris.Compare the reserve days and number of removal tube of the two groups.Results The reserve day of the test group was about days,better than that of the control group,which was days.The rate of removal tube of the rest group was,lower than that of control group,which was.The differences were statistically significant,P0.05.Conclusions To place catheter in neonatal orotracheal intubation at angulus oris is a safe,reliable fixed,effective method,which is worth popularizing.