可视喉镜联合体位改变留置鼻肠管在重症监护病房气管插管患者中的应用研究

Application of Visual Laryngoscope Combined with Positional Changes for Indwelling Nasointestinal Tube in Patients with Tracheal Intubation in Intensive Care Unit

探究可视喉镜联合体位改变留置鼻肠管在重症监护病房气管插管患者中的应用效果。选取桂平市人民医院2022年2月—2023年8月收治的100例重症监护病房气管插管下留置鼻肠管的患者为研究对象。随机将患者分为对照组和观察组,每组各50例。对照组采用常规徒手留置鼻肠管,观察组采用可视喉镜配合体位改变留置鼻肠管,比较两种置管方式的应用效果。结果显示,观察组一次性留置成功率、最终置管成功率均高于对照组(P<0.05);观察组患者置管所需时间短于对照组(P<0.05);观察组各项并发症发生率均低于对照组(P<0.05);观察组患者的总满意率高于对照组(P<0.05)。研究发现,将可视喉镜配合体位改变留置鼻肠管应用于重症监护病房气管插管患者,能够有效降低患者的并发症发生率,缩短置管时间,提高置管成功率和患者满意度。

Exploring the application effect of visual laryngoscopy combined with positional changes in indwelling nasointestinal tubes in patients undergoing tracheal intubation in intensive care units.Selecting 100 patients admitted to the intensive care unit of Guiping People’s Hospital from February 2022 to August 2023 with nasointestinal tube placement under tracheal intubation as the research subjects.Randomly divide the patients into a control group and an observation group,with 50 cases in each group.The control group used conventional manual insertion of nasointestinal tubes,while the observation group used visual laryngoscopy combined with positional changes to compare the application effects of the two tube insertion methods.The results showed that the success rate of one-time indwelling and final catheterization in the observation group were higher than those in the control group(P<0.05);The time required for catheterization in the observation group was shorter than that in the control group(P<0.05);The incidence of various complications in the observation group was lower than that in the control group(P<0.05);The overall satisfaction rate of the observation group patients was higher than that of the control group(P<0.05).Research has found that using a visual laryngoscope in conjunction with a change in position to place a nasointestinal tube in patients undergoing tracheal intubation in the intensive care unit can effectively reduce the incidence of complications,shorten the catheterization time,improve the success rate of catheterization,and increase patient satisfaction.