新型气管导管固定带在全身麻醉俯卧位手术中的初步应用

The preliminary application of a new type of tracheal catheter fixation tape in the prone position surgery with general anesthesia

目的研制一种新型气管导管固定带，以降低全身麻醉俯卧位手术患者经口气管插管后气管导管移位率和脱管率。方法将100例在全身麻醉俯卧位后行腰椎后路减压融合内固定手术患者按随机数字表法分为两组（每组50例）：对照组，采用传统医用胶布固定气管导管，面颊两侧胶布上辅以3M透明贴膜；实验组，采用新型气管导管固定带固定气管导管。观察和比较两种固定方法的效果。结果经临床试用，实验组未发生气管导管移位和脱落，面部皮肤仅有两例发生红肿，未见过敏和破损现象，与对照组比较，差异有统计学意义（P〈O．01）。结论新型气管导管固定带可以明显降低气管导管移位率和脱管率，同时降低面部皮肤刺激症发生率，且操作简便易行。

Objective To develop a new type of tracheal catheter fixation tape to reduce the catheter displacement rate and removal rate in the patients with general anesthesia. Methods One hundred patients receiving the lumbar surgery of posterior decompression and internal fixation with general anesthesia and prone position were randomly divided into two groups. In the control group of 50 cases, the traditional medical tape was used for tracheal catheter fixation, assistant with 3M transparent glue film fixation on both cheeks. In the experimental group of 50 cases a new tape was used for tracheal catheter fixation, the effect of two fixation methods was observed and compared. Results There was no displacement or removal of tracheal catheter in the experimental group. Also, there were only two cases of facial skin redness and no skin allergy or damage. Thus, the rate of skin allergy was significantly lower than that of the control group （P〈0.01）. Condttsions The new type of tracheal catheter fixation tape can significantly reduce the displacement and removal rate of tracheal catheter. It can also reduce the incidence of facial skin irritation. The new fixation tape is worth to be promoted in clinical practice.