自制气管导管自动退芯器用于气管插管术中效果观察

Observation of the Effect of Self-made Endotracheal Tube Automatic Corereleasing Device Used in Endotracheal Intubation

目的探讨自制气管导管自动退芯器在气管插管术中的应用价值。方法选取山东省沂南县人民医院2019年1月至12月收治的ASA分级为Ⅰ~Ⅳ级、气道评估改良Mallampati分级为Ⅰ~Ⅲ级行全麻气管插管患者86例作为研究对象,按照随机数字表法分为观察组(43例)与对照组(43例)。观察组采用气管导管自动退芯器单人操作法,对照组采用常规气管插管方法。比较两组患者插管前后的生命体征改变、一次插管成功率和平均插管时间,以及气管插管并发症的发生情况。结果两组患者插管前、插管中峰值和插管后3 min的平均动脉压(MAP)、心率(HR)和及血氧饱和度(SpO2)变化比较,差异无统计学意义(P>0.05);观察组患者一次插管成功率为95.35%,与对照组的83.72%比较差异无统计学意义(P>0.05),但观察组患者的平均插管时间为(24.52±6.46)s,与对照组的(36.73±7.13)s比较差异有统计学意义(P<0.01);观察组患者气管插管并发症的发生率(11.63%)与对照组(30.23%)比较差异有统计学意义(P<0.05)。结论将自制气管导管自动退芯器用于气管插管术中,可由单人完成操作,具有操作迅速、安全、简便、易行等优势,值得临床推广应用。

Objective To explore the application value of self-made endotracheal tube automatic core-out device in endotracheal intubation.Methods Selecting 86 patients admitted in People's Hospital of Yinan County with grade I-IV in ASA and grade I-III airway assessment modified Mallampati classification who underwent general anesthesia tracheal intubation from January to December 2019,according to random number table method divided into observation group and control group,43 cases in each group.The observation group was operated with endotracheal tube automatic uncored device by single person,while the control group was operated with conventional endotracheal intubation.The changes of vital signs,the success rate of one intubation,the average duration of intubation,and the complications of endotracheal intubation were compared between the two groups before and after intubation.Results There was no significant difference in MAP,HR and SpO2 changes between the two groups before,during and 3 min after intubation(P>0.05).The success rate of one intubation in the observation group was 95.35%,with no significant difference compared with 83.72%in the control group(P>0.05).However,the average intubation time of patients in the observation group was(24.52±6.46)s,and the difference was statistically significant compared with(36.73±7.13)s in the control group(P<0.01).The incidence of endotracheal intubation complications in the observation group was 11.63%,which was statistically significant compared with 30.23%in the control group(P<0.05).Conclusion The self-made endotracheal catheter can be used in endotracheal intubation,and can be operated by a single person.It has the advantages of rapid,safe,simple and easy operation,which is worthy of clinical popularization and application.