中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
16期
22-23,26
,共3页
纤维支气管镜下经鼻气管插管%经口气管插管%临床应用价值
纖維支氣管鏡下經鼻氣管插管%經口氣管插管%臨床應用價值
섬유지기관경하경비기관삽관%경구기관삽관%림상응용개치
Under fiberoptic nasotracheal intubation%Oral trachea cannula%Clinical application value
目的：探讨纤维支气管镜下经鼻气管插管的临床应用价值。方法选取2013年11月~2014年11月本院收治的70例气管插管患者为研究对象，根据气管插管方式的不同分为对照组（经口气管插管组）35例和观察组（纤维支气管镜下经鼻气管插管）35例，观察比较两组患者的一次插管成功率、插管时间构成及不同时间的血压、心率、血清应激指标水平。结果观察组的一次插管成功率高于对照组，插管时间构成好于对照组，插管时及插管后1 min血压及心率水平均低于对照组，插管后1、3 min血清应激指标水平均低于对照组，差异有统计学意义（P<0.05）。结论纤维支气管镜下经鼻气管插管的临床应用价值较高，可有效提升插管成功率及缩短插管时间，对控制机体的不良应激发挥积极的临床作用。
目的：探討纖維支氣管鏡下經鼻氣管插管的臨床應用價值。方法選取2013年11月~2014年11月本院收治的70例氣管插管患者為研究對象，根據氣管插管方式的不同分為對照組（經口氣管插管組）35例和觀察組（纖維支氣管鏡下經鼻氣管插管）35例，觀察比較兩組患者的一次插管成功率、插管時間構成及不同時間的血壓、心率、血清應激指標水平。結果觀察組的一次插管成功率高于對照組，插管時間構成好于對照組，插管時及插管後1 min血壓及心率水平均低于對照組，插管後1、3 min血清應激指標水平均低于對照組，差異有統計學意義（P<0.05）。結論纖維支氣管鏡下經鼻氣管插管的臨床應用價值較高，可有效提升插管成功率及縮短插管時間，對控製機體的不良應激髮揮積極的臨床作用。
목적：탐토섬유지기관경하경비기관삽관적림상응용개치。방법선취2013년11월~2014년11월본원수치적70례기관삽관환자위연구대상，근거기관삽관방식적불동분위대조조（경구기관삽관조）35례화관찰조（섬유지기관경하경비기관삽관）35례，관찰비교량조환자적일차삽관성공솔、삽관시간구성급불동시간적혈압、심솔、혈청응격지표수평。결과관찰조적일차삽관성공솔고우대조조，삽관시간구성호우대조조，삽관시급삽관후1 min혈압급심솔수평균저우대조조，삽관후1、3 min혈청응격지표수평균저우대조조，차이유통계학의의（P<0.05）。결론섬유지기관경하경비기관삽관적림상응용개치교고，가유효제승삽관성공솔급축단삽관시간，대공제궤체적불량응격발휘적겁적림상작용。
Objective To investigate the clinical application value of under fiberoptic nasotracheal intubation. Methods 70 patients with trachea cannula in our hospital from November 2013 to November 2014 were selected as research ob-ject,and they were divided into control group (oral trachea cannula group) 35 cases and observation group (under fiberoptic nasotracheal intubation group) 35 cases according to the methods of trachea cannula.The one-time success rate of trachea cannula,intubation time composition,blood pressure,heart rate and serum stress indexes at different time between two groups was compared respectively. Results The one-time success rate of observation group’s trachea cannula was higher than that of control group,the intubation time composition was better than that of control group,the blood pressure and heart rate at intubation and at one minute after the intubation was lower than that in control group respectively,serum stress indexes at one minute and three minutes after the intubation was lower than that in control group respectively,with statistical difference(P<0.05). Conclusion The clinical application value of under fiberoptic na-sotracheal intubation is high,and it can effectively improve the success rate of trachea cannula and shorten the intuba-tion time,it also plays active clinical role in controlling the bad stress of body.
