两种固定法在经口气管插管中应用的效果分析

Comparisons of two methods of tube fixations during oral tracheal intubation

目的探讨两种固定法在经口气管插管中应用的效果,为临床寻找一种操作较方便、安全、有效的固定方法。方法将36例经口气管插管患者采用随机数字表法分为两组,每组各18例,对照组患者采用丝绸胶布双S型固定法,观察组患者采用气管插管固定器固定法。比较两种经口气管插管固定法在固定效果、固定效率、对口腔清洁度、周围皮肤并发症及成本的情况。结果两组患者经口气管插管固定效果、经口气管插管一人完成固定、一人固定所需时间、周围皮肤并发症发生情况及患者用物总费用比较,均P<0.05,差异具有统计学意义,观察组患者经口气管插管固定效果明显优于对照组,一人完成固定率明显高于对照组,一人完成固定所需时间明显短于对照组,周围皮肤并发症程度明显轻于对照组,患者用物总费用明显低于对照组;两组患者经口气管插管固定期间口腔清洁度比较,P>0.05,差异无统计学意义。结论经口气管插管采用固定器固定法较丝绸胶布双S型固定法更稳固、操作更方便,缩短护理时间,值得临床推广应用。

Objective To compare the effects of two methods for tube fixations during oral tracheal intubation（OTI）. Methods Thirty-six patients undergoing oral tracheal intubation were assigned equally to control group and observation group according to the random digit table. In the former group, the tube during OTI was fixed with S-shaped fixation with silk tape and in the latter, the tube fixation with a OTI fixer. The two groups were compared in terms of fixation effect and efficacy, oral cleanness, complications of the punctured skin and medical expense. Results The fixation effect of the observational group was significantly better than that of the control group（P〈0.05）. The time for fixation in the observation group was significantly shorter than that of the control group and the medical expense on the fixation was significantly lower（P0.05）. The oral cleanness between the two groups were insignificantly different（P0.05）. Conclusion The tube fixation with an OTI fixer is more stable and more convenient and it can shorten the tube fixation time as compared to S-shaped tube fixation with silk tape.