带管芯经鼻气管插管损伤性并发症的临床观察

The clinical observation of damage complications for nasotracheal intubation with tube core

目的通过比较可视下带与不带管芯经鼻气管插管的损伤性并发症发生率,寻求一种更为合理的经鼻插管方法。方法 92例拟经鼻插管患者随机分成A、B两组,各46例。A组不带管芯;B组带管芯。分别记录1次,2次以上插管成功、插管钳辅助及失败例数;插管中及拔管后鼻咽部出血,咽后壁损伤,口咽喉部损伤例数;术后1周随访。结果B组成功率98%高于A组89%,P<0.05;损伤性并发症发生率:A组45.6%高于B组19.6%,P<0.05;术后1周未发现阳性病例。结论带管芯经鼻气管插管损伤性并发症少,成功率高,该方法优于传统的经鼻气管插管,可以推广。

Objective To compare the injury of visible nasotracheal intubation with or without tube core,for seeking a more reasonable method of nasotracheal intubation.Methods 92 patients with nasotracheal intubation general anesthesia,were randomly divided into A,B groups,with 46 cases in each group.The patients in group A were adopted nasotracheal intubation without tube core,in group B with tube core.The times of nasotracheal intubation,tube clamp assisted and the failed intubation were recorded.And the number of cases with nasopharyngeal bleeding,pharyngeal injury,mouth throat injury with intubation or after that were recorded.All patients were followed-up 1 week.Results The success rate in group B（98%） was higher than that in group A（89%）,P0.05.The incidence of injury complication in group B（19.6%）was lower than that in group A（45.6%）,P0.05.All patients were followed-up with no positive cases.Conclusion The fewer complications and higher success probability of nasotracheal intubation with tube core is superior to the traditional nasotracheal intubation.