CAJ | 학술논문

目的探讨经口腔气管插管安全、舒适、有效的固定方法.方法将110例经口腔气管插管患者按住院号的单双分为观察组和对照组,观察组采用一片纱布贴在胶布长度的中间,先绕过后颈固定,左右两端胶布经过口角处各垫一片纱布,接着左右两端的胶布分别按顺时针和逆时针反向缠绕于插管和牙垫一周后各贴到对侧的胶布上；对照组采用传统的胶布固定方法.观察两种固定方法的牢固度、舒适度、非计划性拔管例数.结果观察组固定方法的牢固度、舒适度显著优于对照组(P＜0.01),患者自拔管率低于传统方法,差异均有统计学意义(P＜0.05).结论改进的气管插管固定方法更加牢固、安全,增加了患者的舒适度,提高了护理质量,值得临床应用.
목적 탐토경구강기관삽관안전、서괄、유효적고정방법.방법 장110례경구강기관삽관환자안주원호적단쌍분위관찰조화대조조,관찰조채용일편사포첩재효포장도적중간,선요과후경고정,좌우량단효포경과구각처각점일편사포,접착좌우량단적효포분별안순시침화역시침반향전요우삽관화아점일주후각첩도대측적효포상；대조조채용전통적효포고정방법.관찰량충고정방법적뢰고도、서괄도、비계화성발관례수.결과 관찰조고정방법적뢰고도、서괄도현저우우대조조(P＜0.01),환자자발관솔저우전통방법,차이균유통계학의의(P＜0.05).결론 개진적기관삽관고정방법경가뢰고、안전,증가료환자적서괄도,제고료호리질량,치득림상응용.
Objective To explore safe,comfortable effective of fixed method through oral endotracheal intubation.Methods A total of 110 cases of patients through oral endotracheal intubation were divided into observation group and control group by hospital number of odd and even,observation group was treated with a gauze attached to the middle of the tape length,the first fixed around the neck,pad a gauze at the left and right tape through the mouth,then left and right ends of the tape were reversed wound clockwise and counterclockwise intubation and dental after one roll and pad attached to the opposite side of the tape.Control group was used traditional fixed methods of tape.The firmness,comfort,the number of cases of unplanned extubation of two fixed methods were observed.Results The solid and comfortable degree of fixed method in observation group were significantly better than those of control group (P ＜ 0.01),the rate of self tube drawing was lower than that of control group (P ＜ 0.05).Conclusions Improved methods of endotracheal intubation is more firmly fixed,security,which is increased patient comfort,improved the quality of nursing,and is worthy of clinical application.