新型专利气管导管在困难气管插管中的临床应用

目的评价本新型专利气管导管在困难气管插管中的临床应用价值。方法随机对73例困难或异常的气道患者分为两组，I组（1／,=73）：在麻醉诱导下，首先采用目前临床上使用的塑料气管导管（传统气管导管）插管，在不用管芯情况下，分析其插管成功率；Ⅱ组（n=63）：在I组2次插管不成功者归为Ⅱ组，并换用新型气管导管插管，在不用管芯情况下分析其插管成功率。结果I组首次插管成功率为2．7％（2／73），插管总成功率为13．7％（10／73）；11组首次插管成功率为73．02％（46／63），插管总成功率为98．41％（62／63），两组首次插管成功率和插管总成功率相比较，差异均有统计学意义（x。值分别为36．01、31．08，P均〈0．01）。结论本新型专利气管导管比传统气管导管有三大优点：具有良好的可塑性，无需辅用气管管芯插管，能充分发挥软导引管的引插管导作用。新型专利气管导管比传统气管导管更加实用。

Clinical application of the new-type patent endotracheal tube in difficult endotracheal intubation patients

Objective To investigate the clinical efficacy of new-type patent endotracheal tube in difficult endotrachea intubation patients. Methods Seventy-three patients with the abnormal airways were selected as our subjects. Patients were given the traditional endotracheal tube by mouth after anesthesia. The successes patients in terms of endotracheal intubation were as group I （ n = 73 ）. The failed patients were as group II （ n = 63 ）, who performed the secondary endotracheal intubation with new type patent endotracheal tube. Analyze the success rate of intubation of the two groups when on use the tube core. Results The first time intubation success rate and intubation success rate was （2. 7% （2/73）, 13.7% （10/73） respectively） in I group,and 73.02% （46/63） and 98.41% （62/63） respectively in the group l], and there was the significant difference between two groups （ X2 = 36. 01,31.08 respectively, P 〈 0. 01 ） . Conclusion The new type endotracheal tube was proved with three advantage of good plasticity, without need of auxiliary core intubation with traeheahube and give full play to lead the soft cannula guide tubes leading role. Therefore, the new type patent endotracheal tube has more efficacy over traditional tube.