气管插管病人胃管置入方法研究

目的 探讨气管插管病人胃管置入方法。方法 将264例气管插管病人随机分为卡弗放气组(A组)、卡费不放气组(B组)、头部前倾组(C组)和镇静状态下牵拉气管组(D组)各66例；观察并比较一次置管成功率，置管前后HR、SpO2及置管过程中呛咳发生率。结果①一次置管成功率比较，A组与B组差异无显著性意义(P＞0．05)，C组显著低于A、B组(均P＜0．05)，D组显著高于其它各组(均P＜0．01)。②置管后HR、SpO2与各自置管前相比，B、D组无显著性意义(均P＞0．05)，A、C组HR明显加快、SpO2明显降低(P＜0．05，P＜0．01）；C组置管过程中呛咳发生率显著高于其他各组(均P＜0．01)。结论 对气管插管病人在镇静状态下牵拉气管的同时置入胃管准确性高、不良反应少。

Gastric Canal Inserted Methods in the Patients Undergoing Tracheal Intubation

Objective To explore the method of the gastric canal insertion in the patients undergoing tracheal intubation . Methods Two hundred and sixty-four cases of tracheal intubation were randomly divided into groups A (ka-fu-deflation group) , B (kafu-inflation group), C (head declining forwards) and D (pulling the trachea under calm state). (n= 66 in each). The intubation successful rate, HR and SpO2 before and after intubation, and the choking occurrence during intubation were observed and compared. Results The intubation successful rate showed no significant difference between group A and B (P>0. 05) , but significantly lower in the group C than in the groups A and B (both P<0. 05), and significantly higher in the group D than any other groups (all P<0. 01;. Before and after gastric canal insertion, there was no significant difference in HR, SpO2 between group B and group D (all P>0. 05); in the groups A and C, HR was obviously increased, while the SpO2 remarkably decreased (P<0. 05, P<0. 01). During the gastric canal insertion, the choking occurrence in the group C was significantly higher than any other groups (all P<0. 01). Conclusion For the tracheal intubation patients, gastric canal insertion had a higher accurate and less side effect at the same time of pulling trachea.