探讨经鼻盲探气管插管在急性颅脑损伤患者中的应用

Application of blind nasotracheal intubation in acute craniocerebral injury

目的:探讨经鼻盲探气管插管(BNTI)在急性颅脑损伤患者中的应用效果。方法:按照随机原则抽取35例作经鼻气管插管和35例作经口气管插管,比较单纯置管时间,插管总耗时,插管成功率,插管并发症。结果:经鼻盲插的插管成功率与经口插管成功率无明显差异。虽然,经鼻盲插在单纯插管操作时间比经口组长,但插管总耗时及镇静药物使用率较经口插管组明显降低。结论:对于急性颅脑损伤并需要气管插管的患者,经鼻盲探插管术较经口插管术更适用。

Objective： To investigate the application effect of blind nasotracheal intubation （BNI） in the treatment of acute craniocerebral injury. Methods： 35 cases of acute craniocerebral injury were randomly divided into BIN group and another 35 cases into orotracheal intubation （OI） group. The insertion time, total duration of intubation, intubation success rate an pared and analyzed. Results： No obvious difference was found in the d compli intubatio cations were com- n success rate be-tween the two groups. No matter the increased insertion time, BIN reduced the total duration of in- tubation and dose of tranquilizing drug. Conclusion： BIN has better advantage over OI in treating a-cute craniocerebral injury.