呼吸机经口气管插管2种固定方法比较

Comparison on two kinds of fixation methods in ventilator intubation via mouth

目的:评价并比较一次性使用气管插管固定器和牙垫白寸带固定方法在呼吸机经口气管插管中口腔护理、更换固定材料的难易度及固定的效果。方法:将70例呼吸机经口气管插管的患者随机分为观察组和对照组,每组35例。对照组采用牙垫白寸带固定,观察组采用一次性使用气管插管固定器;观察经口气管插管中口腔护理、更换固定材料的难易度及固定效果(1周内插管是否被咬坏、有无插管滑脱、插管刻度的观察是否方便)。结果:与对照组比较,观察组经口气管插管的固定操作简单,口腔护理及更换固定材料方便、省时。观察组固定效果可靠、插管刻度容易观察。结论:一次性使用气管插管固定器是一种值得在临床推广使用的气管插管固定方法。

Objective： To compare the oral care,replacing fixed material and fixation effects between the one-time tracheal intubation fixer and dental pad white inch band fixation method in ventilator intubation via mouth. Methods： Seventy patients with ventilator intubation via mouth were randomly divided into the experimental group and control group（ 35 cases each group）. The experimental group and control group were treated with the one-time tracheal intubation fixer and dental pad white inch band fixation method,respectively. The oral care,replacing fixed material and fixation effects（ including the injury and slip of intubation,and observation of the intubation scale within 1 week） between two groups were compared. Results： Compared with the control group,the operation was simple,the oral care and replacement of fixed materials were convenient and short time,the fixed effect was reliable,and the observation of the scale was convenient and easy in the experimental group. Conclusions： The one-time tracheal intubation fixer is worthy of clinical use.