摘要
目的:探讨口腔癌切除+游离皮瓣修复术患者经口气管插管中三绳固定法的应用效果。方法:选取2015年5月-2017年10月在本院接受口腔癌切除术+游离皮瓣修复术治疗的口腔癌患者68例。按照不同经口气管插管固定方法将其分为对照组(n=32)和试验组(n=36)。试验组采用三绳固定法,对照组采用单绳固定法,比较两组气管插管移位情况、舒适度评分、并发症发生情况。结果:插管72 h后,试验组气管插管重度移位发生率为2.78%,低于对照组的18.75%(P<0.05);试验组固定后48、72 h的舒适度评分均高于对照组(P<0.05);试验组并发症发生率为8.33%,低于对照组的28.13%(P<0.05)。结论:对于行口腔癌切除术+游离皮瓣修复术治疗的患者,经气管插管施予三绳固定法可提升插管稳定性、患者舒适度,并减少并发症。
Objective:To investigate the effect of three wire fixation in oral tracheal intubation by oral cancer resection+free flap repairment.Method:A total of 68 patients with oral cancer who underwent oral cancer resection+free flap repair in our hospital from May 2015 to October 2017 were selected.According to different methods of oral tracheal intubation and fixation,they were divided into control group(n=32)and experimental group(n=36).The experimental group was fixed with three wire,and control group was fixed with single rope.The displacement of tracheal intubation,comfort score and complications between two groups were compared.Result:72 hours after intubation,the incidence of severe displacement of tracheal intubation in experimental group was 2.78%,which was lower than 18.75% of control group(P<0.05).The comfort scores of 48 and 72 hours after fixation in experimental group were higher than those of control group(P<0.05).The incidence of complications in experimental group was 8.33%,which was lower than 28.13% in control group(P<0.05).Conclusion:For patients undergoing oral cancer surgery+free flap repairment,three wire fixation through tracheal intubation can improve the stability of intubation,patient comfort and reduce complications.
作者
岑爱丽
李桂迎
陆凤花
韦芳梅
黄霞
CEN Aili;LI Guiying;LU Fenghua(Wuming Hospital Affiliated to Guangxi Medical University,Nanning 530199,China)
出处
《中国医学创新》
CAS
2019年第6期156-159,共4页
Medical Innovation of China
基金
南宁市科学研究与技术开发计划项目基金(20153118)
关键词
口腔癌切除术
游离皮瓣修复术
经口气管插管
三绳固定法
Oral cancer resection
Free flap repairment
Transoral tracheal intubation
Three wire fixation