中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2013年
12期
1250-1253
,共4页
王禄平%曾春梅%陈国强%周妮娜%阎云
王祿平%曾春梅%陳國彊%週妮娜%閻雲
왕록평%증춘매%진국강%주니나%염운
专利%气管导管%气管插管%异常气道
專利%氣管導管%氣管插管%異常氣道
전리%기관도관%기관삽관%이상기도
Patent%Endotracheal tube%Endotracheal intubation%Abnormal airway
目的 评价本新型专利气管导管在困难气管插管中的临床应用价值.方法 随机对73例困难或异常的气道患者分为两组,Ⅰ组(n=73):在麻醉诱导下,首先采用目前临床上使用的塑料气管导管(传统气管导管)插管,在不用管芯情况下,分析其插管成功率;Ⅱ组(n=63):在Ⅰ组2次插管不成功者归为Ⅱ组,并换用新型气管导管插管,在不用管芯情况下分析其插管成功率.结果 Ⅰ组首次插管成功率为2.7％(2/73),插管总成功率为13.7％(10/73);Ⅱ组首次插管成功率为73.02％(46/63),插管总成功率为98.41％(62/63),两组首次插管成功率和插管总成功率相比较,差异均有统计学意义(x2值分别为36.01、31.08,P均＜0.01).结论 本新型专利气管导管比传统气管导管有三大优点:具有良好的可塑性,无需辅用气管管芯插管,能充分发挥软导引管的引插管导作用.新型专利气管导管比传统气管导管更加实用.
目的 評價本新型專利氣管導管在睏難氣管插管中的臨床應用價值.方法 隨機對73例睏難或異常的氣道患者分為兩組,Ⅰ組(n=73):在痳醉誘導下,首先採用目前臨床上使用的塑料氣管導管(傳統氣管導管)插管,在不用管芯情況下,分析其插管成功率;Ⅱ組(n=63):在Ⅰ組2次插管不成功者歸為Ⅱ組,併換用新型氣管導管插管,在不用管芯情況下分析其插管成功率.結果 Ⅰ組首次插管成功率為2.7％(2/73),插管總成功率為13.7％(10/73);Ⅱ組首次插管成功率為73.02％(46/63),插管總成功率為98.41％(62/63),兩組首次插管成功率和插管總成功率相比較,差異均有統計學意義(x2值分彆為36.01、31.08,P均＜0.01).結論 本新型專利氣管導管比傳統氣管導管有三大優點:具有良好的可塑性,無需輔用氣管管芯插管,能充分髮揮軟導引管的引插管導作用.新型專利氣管導管比傳統氣管導管更加實用.
목적 평개본신형전리기관도관재곤난기관삽관중적림상응용개치.방법 수궤대73례곤난혹이상적기도환자분위량조,Ⅰ조(n=73):재마취유도하,수선채용목전림상상사용적소료기관도관(전통기관도관)삽관,재불용관심정황하,분석기삽관성공솔;Ⅱ조(n=63):재Ⅰ조2차삽관불성공자귀위Ⅱ조,병환용신형기관도관삽관,재불용관심정황하분석기삽관성공솔.결과 Ⅰ조수차삽관성공솔위2.7％(2/73),삽관총성공솔위13.7％(10/73);Ⅱ조수차삽관성공솔위73.02％(46/63),삽관총성공솔위98.41％(62/63),량조수차삽관성공솔화삽관총성공솔상비교,차이균유통계학의의(x2치분별위36.01、31.08,P균＜0.01).결론 본신형전리기관도관비전통기관도관유삼대우점:구유량호적가소성,무수보용기관관심삽관,능충분발휘연도인관적인삽관도작용.신형전리기관도관비전통기관도관경가실용.
Objective To investigate the clinical efficacy of new-type patent endotracheal tube in difficult endotrachea intubation patients.Methods Seventy-three patients with the abnormal airways were selected as our subjects.Patients were given the traditional endotracheal tube by mouth after anesthesia.The successes patients in terms of endotracheal intubation were as group Ⅰ (n =73).The failed patients were asgroup Ⅱ (n =63),who performed the secondary endotracheal intubation with new type patent endotracheal tube.Analyze the success rate of intubation of the two groups when on use the tube core.Results The first time intubation success rate and intubation success rate was (2.7％ (2/73),13.7％ (10/73) respectively) in Ⅰ group,and 73.02％ (46/63) and 98.41％ (62/63) respectively in the group Ⅱ,and there was the significant difference between two groups (x2 =36.01,31.08 respectively,P ＜ 0.01).Conclusion The new type endotracheal tube was proved with three advamage of good plasticity,without need of auxiliary core intubation with trachealtube and give full play to lead the soft cannula guide tubes leading role.Therefore,the new type patent endotracheal tube has more efficacy over traditional tube.
