鼻咽通气管与口咽通气管在老年患者全麻术后舌后坠气道管理中的应用研究

Study for the application of nasopharyngeal and oropharyngeal snorkel for glossocoma airway management after general anesthesia for elderly patients

目的探讨鼻咽通气管在全麻术后舌后坠老年患者气道管理的效果。方法选取择期全麻术后舌后坠的老年患者100例,随机分为观察组和对照组各50例,观察组置入鼻咽通气管、对照组置入口咽通气管进行气道管理。观察两组患者通气管一次置入成功例数、通气管置入前后呼吸频率和脉搏血氧饱和度(SpO2)的变化、通气管留置期间SpO2<95%的例数、患者清醒后对通气管的耐受性。结果两组患者通气管置入后均呼吸频率减慢,SpO2回升;观察组患者在通气管一次置入成功例数、通气管留置期间SpO2<95%的例数、患者清醒后对通气管的耐受性等与对照组比较,差异均有统计学意义(P<0.05)。结论鼻咽通气管用于全麻术后舌后坠老年患者气道管理,具有通气效果稳定、减少了护理工作量、提高患者舒适度等优点。值得临床推广应用。

Objective To study the effect of nasopharyngeal and oropharyngeal snorkel for glossocoma airway management after general anesthesia for elderly patients .Method 100 elderly patients with glossocoma after the gen‐eral anesthesia were selected and randomly divided into observation group and the control group ,50 patients in each group .Patients in observation group was given nasopharyngeal airway for airway management ,patients in control group was given oropharyngeal airway for airway management .The first success rate of first placed ventilation tube ,the change of respiratory frequency and oxygen saturation of pulse （SpO2 ） before and after the placement of breather pipe ,The cases of SpO2 0 95% during the period of breather pipe lining ,the tolerance of patients after waking up to the ventilation tube was observed and compared between the two group .Result The respiratory fre‐quencies decreased after application of the two kinds of breather pipe ,SpO2 increased .There was significant differ‐ence before and after placement by intra‐group comparison （P〈0 .01） .The first time success rate of first placed ventilation tube ,T he cases of SpO2 0 95% during the period of breather pipe placement ,the patients’ tolerance to breather pipe after awake was significant difference（P〈0 .05） .Conclusion The application of nasopharyngeal airway in airway management for elderly patients with glossocoma after general anesthesia can provide stable ventilation and reduce the workload of nursing care ,and improve the quality of life significantly .