中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2014年
26期
13-13,14
,共2页
气管插管%呼吸衰竭%鼻窦炎
氣管插管%呼吸衰竭%鼻竇炎
기관삽관%호흡쇠갈%비두염
endotracheal intubation%respiratory failure%nasosinusiti
目的：研究经鼻与喉镜下经口气管插管在COPD呼吸衰竭患者中的治疗效果的对比观察。方法：40例COPD呼吸衰竭患者随机分为经鼻气管插管组(20例)、经口气管插管组(20例)，分别简称经鼻组和经口组。经鼻组患者经鼻气管插管，经口组患者经口气管插管。观察两组患者治疗前后血气变化、置管时间、鼻窦炎感染情况、口腔护理时间、痰痂形成、拔管成功率、意外拔管发生率等情况。结果：两组患者血气变化、鼻寞炎发生例数、置管时间、拔管成功率无显著性差异，但在留管时间、口腔清洁时间、意外拔管等方面，经鼻气管插管组具有明显的优势。结论：对COPD呼吸衰竭患者实施经鼻气管插管并机械通气的治疗措施。与经口气管插管比较，具有疗效肯定，能延长置管时间，缩短口腔护理时间，有效防止口腔感染，使患者感觉舒适，防止意外拔管的优点，值得在临床上应用和推广。
目的：研究經鼻與喉鏡下經口氣管插管在COPD呼吸衰竭患者中的治療效果的對比觀察。方法：40例COPD呼吸衰竭患者隨機分為經鼻氣管插管組(20例)、經口氣管插管組(20例)，分彆簡稱經鼻組和經口組。經鼻組患者經鼻氣管插管，經口組患者經口氣管插管。觀察兩組患者治療前後血氣變化、置管時間、鼻竇炎感染情況、口腔護理時間、痰痂形成、拔管成功率、意外拔管髮生率等情況。結果：兩組患者血氣變化、鼻寞炎髮生例數、置管時間、拔管成功率無顯著性差異，但在留管時間、口腔清潔時間、意外拔管等方麵，經鼻氣管插管組具有明顯的優勢。結論：對COPD呼吸衰竭患者實施經鼻氣管插管併機械通氣的治療措施。與經口氣管插管比較，具有療效肯定，能延長置管時間，縮短口腔護理時間，有效防止口腔感染，使患者感覺舒適，防止意外拔管的優點，值得在臨床上應用和推廣。
목적：연구경비여후경하경구기관삽관재COPD호흡쇠갈환자중적치료효과적대비관찰。방법：40례COPD호흡쇠갈환자수궤분위경비기관삽관조(20례)、경구기관삽관조(20례)，분별간칭경비조화경구조。경비조환자경비기관삽관，경구조환자경구기관삽관。관찰량조환자치료전후혈기변화、치관시간、비두염감염정황、구강호리시간、담가형성、발관성공솔、의외발관발생솔등정황。결과：량조환자혈기변화、비막염발생례수、치관시간、발관성공솔무현저성차이，단재류관시간、구강청길시간、의외발관등방면，경비기관삽관조구유명현적우세。결론：대COPD호흡쇠갈환자실시경비기관삽관병궤계통기적치료조시。여경구기관삽관비교，구유료효긍정，능연장치관시간，축단구강호리시간，유효방지구강감염，사환자감각서괄，방지의외발관적우점，치득재림상상응용화추엄。
Objective:Research guided by fiber bronchoscope through the nose and contrast laryngoscopeafter treatment effect in patients with orotracheal intubation in respiratory failure of COPD observation. Methods:40 cases with respiratory failure were divided randomly into group nasotracheal(20 cases),group mouth intubati(20 cases).Group nasotracheal WaS treated witl nasotracbeal intubati.Group mouth intubati was treated with mouth intubation.The clinical features such as blood gas,placing tube time,nasosinusitis infection,oral care time, sputum, extubation success rate, occurrence rate of accidental extubation were observed and compared in the two groups.Results:There were no significantly of the change of blood gas before and after the treatment between two groupk.There were no significantly of the case of nasosinusitis and placing tube time extubation success rat,.but there were significantly of the tracheal cannula keeping time and the depuratory of mouth cavity.Condusion:Patients of respiratory failure with COPD implementation of nasotracheal intubationand mechanical ventilation treatment. Compared with oral tracheal intubation, which has certain effect, can prolong indweling time, shorten the time of oral care, effectively prevent oral infection, so that patients feel comfortable, to prevent accidental extubation, .It is efficient and safe and worthy of being recommended for use in clinical practice.
