CAJ | 학술논문

目的：比较采用经口气管插管与经鼻气管插管方法用于急危重患者的临床疗效。方法回顾性分析需要行有创机械通气的急危重患者79例，分为经口气管插管组（OI）和经鼻气管插管组（BNI），其中 OI 组42例， BNI 组37例，对2组患者的一次插管成功率，一次成功插管时间，呼吸机治疗24h 后血气变化，脱管率，气管导管留置时间，每次口腔护理时间，行插管后的并发症情况及死亡例数等进行统计和比较。结果2组一次插管成功率、脱管例数、呼吸机治疗24h 后血气变化、发生呼吸机相关肺炎、痰痂阻管、鼻衄、更换插管方式、死亡例数等比较差异无统计学意义（P ﹥0.05），而 OI 组的一次成功插管时间、气管导管留置时间、每次口腔护理时间、口腔溃疡发生率与 BNI 组比较差异有统计学意义（P ﹤0.05）。结论经口插管操作快捷，而经鼻插管患者耐受性好，易于固定，便于口腔护理，导管保留时间长。
목적：비교채용경구기관삽관여경비기관삽관방법용우급위중환자적림상료효。방법회고성분석수요행유창궤계통기적급위중환자79례，분위경구기관삽관조（OI）화경비기관삽관조（BNI），기중 OI 조42례， BNI 조37례，대2조환자적일차삽관성공솔，일차성공삽관시간，호흡궤치료24h 후혈기변화，탈관솔，기관도관류치시간，매차구강호리시간，행삽관후적병발증정황급사망례수등진행통계화비교。결과2조일차삽관성공솔、탈관례수、호흡궤치료24h 후혈기변화、발생호흡궤상관폐염、담가조관、비뉵、경환삽관방식、사망례수등비교차이무통계학의의（P ﹥0.05），이 OI 조적일차성공삽관시간、기관도관류치시간、매차구강호리시간、구강궤양발생솔여 BNI 조비교차이유통계학의의（P ﹤0.05）。결론경구삽관조작쾌첩，이경비삽관환자내수성호，역우고정，편우구강호리，도관보류시간장。
Objective To compare the clinical effect between orotracheal intubation(OI)and nasotracheal intubation with bronchofibroscope(BNI)in critical patients. Methods 79 cases of critical patients who had required invasive mechanical ventilation in EICU were retrospectively analyzed. OI group had 42 cases,BNI group had 37 cases. The success rate of first in-tubation,successful intubation time,blood gas changes after twenty-four hour treatment,loss rate of pipe,detaining time,mouth care of time,complication and death cases were compared. Results The difference of success rate of first intubation,loss rate of pipe,blood gas changes after twenty-four hour treatment,Entilator-associated pneumonia,sputum scab resistance tube,nasal bleeding,replace the way of intubation,death cases between two groups had no significant(P ﹥ 0. 05),The difference of suc-cessful intubation time,detaining time,mouth care of time,incidence of oral ulcer between two groups had significant(P ﹤0. 05). Conclusion OI is easier and faster to operate than BNI,but BNI is more endurable,easier fixed,easier mouth nursing and longer retaining time.