喉镜联合负压吸引装置对危重症患者气管插管时间及成功率的影响

目的：探讨喉镜联合负压吸引装置对危重症患者气管插管时间及成功率的影响。方法随机选取2012年8月至2015年8月收治的60例危重症患者，将这些患者随机为两组，即观察组（n=30）和对照组（n=30）。观察组患者采用喉镜联合负压吸引装置插管，对照组患者采用单纯喉镜进行常规插管。对两组患者的气管插管时间及成功率、插管前后血流动力学改变情况及插管后不良反应发生情况进行统计分析。结果观察组患者的气管插管时间显著短于对照组（P=0.025），1次气管插管成功率90.00%（27/30）显著高于对照组53.33%（16/30）（P=0.023），血氧饱和度（SaO2）水平显著高于对照组（P=0.022），不良反应发生率显著低于对照组（P=0.028）。结论喉镜联合负压吸引装置能够有效缩短危重症患者气管插管时间，提高1次气管插管成功率，并有效改善患者的血流动力学，降低患者的不良反应发生率，安全有效，值得在临床推广使用。

Objective To investigate the effect of laryngoscope combined with negative pressure suction device on the intubation time and success rate in critically ill patients.Methods 60 cases of critically ill patients in August 2012 to August 2015 were randomly selected,these patients were randomly divided into two groups,the observation group（n=30） and control group（n=30）. The observation group were treated with laryngoscope combined with negative pressure suction device intubation,the control group were treated by simple laryngoscope for tracheal intubation. Conventional intubation time and success rate in two groups before intubation,after intubation hemodynamic changes and the incidence of adverse reactions were statistically analyzed.Results In the observation group,the intubation time was significantly shorter than the control group（P=0.025）,1 times of successful intubation the rate of 90%（27/30） was significantly higher than the control group 53.33%（16/30） （P=0.023）,oxygen saturation（SaO2） was significantly higher than the control group（P=0.022）,the incidence of adverse reactions was significantly lower than that of the According to group（P=0.028）.Conclusion Laryngoscopy in combination with negative pressure suction device can effectively shorten the critically ill patients with tracheal intubation time,improve the one time success rate of tracheal intubation,and effectively improve the hemodynamics,reduce the patients,the incidence of adverse reactions. It is safe and effective,it is worth in clinical use.