经口咽通气管插胃管在经口气管插管患者中的应用观察

Application and observation of indwelling stomach tube through oropharyngeal airway for the patients with orotracheal intubation

目的探讨经口咽通气管插胃管在ICU经口气管插管患者中的应用效果。方法将行气管插管后需安置胃管的60例患者采用随机数字表法随机分为观察组(30例),对照组(30例),观察组采用经口咽通气管插胃管,对照组采用经鼻插胃管。观察比较两组患者一次插管的成功率,平均置管时间,黏膜损伤发生率,插管前、插管时心率变化等指标。结果两组患者一次插管的成功率、平均置管时间、黏膜损伤发生率、插管时心率比较差异有统计学意义(P<0.05)。结论经口咽通气管插胃管优于经鼻插胃管,不仅成功率高,而且节约了时间,也减少了对患者的刺激,值得临床推广应用。

Objective To explore the effect of indwelling stomach tube through oropharyngeal airway for the patients with orotracheal intubation for the patients with orotracheal intubation. Methods Sixty patients required placement of a gastric tube in the trachea was intubated using a random number table, were randomly divided into observation group （30 cases） and control group （30 cases）. The observation group was treated with oropharynx breather indwelling gastric tube, and the control group using indwelling nasal gastric tube.Observed two groups of patients with the following indicators： once the success rate of intubation, the average catheter time, the incidence of mucosal injury, changes in heart rate and other indicators before and during intubation. Results The above indicators compared statistically significant difference for the two groups of patients. Conclusion The oropharynx vent plug stomach tube is better than that of the nasal a gastric tube, not only high success rate, and save time, but also reduce the stimulation of the patients, it is worth clinical application.