ICU患者经口气管插管与经鼻气管插管后行气管切开的比较

Comparison of the rate of tracheotomy after orotracheal intubation and nasotracheal intubation for patients in ICU

目的探讨经口气管插管与经鼻气管插管在ICU留置时间,比较两组气管插管后行气管切开的比例。方法将42例气管插管患者随机分为经口气管插管组24例和纤维支气管镜引导下经鼻气管插管组18例,比较两组患者插管留置时间及插管后再行气管切开率。结果经鼻气管插管留置时间明显长于经口气管插管,经鼻气管插管后行气管切开的比例明显低于经口气管插管。结论纤维支气管镜引导经鼻气管插管在ICU是有效的,插管留置时间更长,部分经鼻气管插管患者避免行气管切开。

Objective To investigate the retaining time of orotracheal intubation and nasotracheal intubation and compare the rate of tracheotomy after intubation in two groups.Methods Forty-two cases were randomly divided into two groups,24 cases in orotracheal intubation group,and 18 cases in nasotracheal intubation group,guided by bronchofibroscope.The retaining time of tube and the rate of tracheotomy after intubation was compared.Results The retaining time of tube in nose was significant longer than that in mouth.The rate of tracheotomy after nasotracheal intubation was less than that after orotracheal intubation.Conclusion Brochofibroscopic nasotracheal intubation is effective and has long retaining time,and part patients with nasotracheal intubation can avoid tracheotomy.