经鼻与经口气管插管对呼吸衰竭患儿疗效的对比观察

Comparative Observation of the Efficacy of Transnasal and Transoral Intubation in Children with Respiratory Failure

目的:观察经鼻与经口气管插管对呼吸衰竭患儿的疗效。方法:回顾性选取2019年3月~2020年9月本院收治的呼吸衰竭患儿60例进行研究,根据插管方法不同分为2组,各30例。其中,实验组采用经鼻气管插管的方法,参照组则采用经口气管插管的方法,对比两组患儿并发症发生情况,观察插管时体征波动情况,并统计插管指标。结果:两组在并发症发生情况的比较上存在差异,实验组的并发症发生率为6.67%,低于参照组的26.67%,差异明显,P<0.05。插管前舒张压、心率、呼吸等均无差异,P>0.05。插管后舒张压、心率、呼吸等均有差异,增高幅度实验组比参照组低,P<0.05。一次性插管成功率实验组(93.33%)比参照组(70.00%)高,插管时间实验组比参照组低,P<0.05。结论:在呼吸衰竭患儿的临床救治中,行经鼻气管插管的方法,可以降低并发症的发生概率,从而取得理想的治疗效果。

Objective:To compare the efficacy of transnasal and transoral intubation in children with respiratory failure.Methods:Sixty children with respiratory failure admitted to our hospital from March 2019 to September 2020 were retrospectively selected for experimental study,and divided into 2 groups with 30 cases each according to different intubation methods.Among them,the experimental group adopted the nasal tracheal intubation method,the reference group adopted the oral tube intubation method,compared the incidence of complications in the two groups,observed the fluctuation of physical signs during intubation,and statistical intubation indicators.Results:There was a significant difference in the incidence of complications between the two groups.The incidence of complications in the experimental group was 6.67%,lower than that in the reference group(26.67%,P<0.05).There was no difference in diastolic blood pressure,heart rate,respiration,etc.before intubation,P>0.05.Diastolic blood pressure,heart rate,respiration,etc.were different after intubation,and the increase rate was lower in the experimental group than in the reference group,P<0.05.The success rate of one-time intubation was higher in the experimental group(93.33%)than in the reference group(70.00%),and the intubation time was lower in the experimental group than in the reference group,P<0.05.Conclusion:In the clinical treatment of children with respiratory failure,transnasal endotracheal intubation can reduce the incidence of complications,so as to achieve an ideal therapeutic effect.