摘要
目的 探讨气管插管术在口腔颌面外科手术后气道安全维护中的作用,以及与气管切开术比较之优 越性。方法 临床分析49例口腔颌面外科病例,实施气管插管术48例,插管期间应用镇静镇痛治疗使病人 Ramsay评分维持在2 4级,观察插管留置时间、留置期间血气(SpO2),气管插管保留或拔除后有无手术部位出血、 血肿及肺部感染等并发症。结果 气管插管平均留置时间为1.56±0.74天,留置期间SpO2>98%(99.76± 0.52%)所有气管插管病人无气道损伤,无气道出血,无肺部感染及镇静药物应用后呼吸抑制发生。结论 在现代 口腔颌面部手术治疗中,气管插管术不仅保障病人呼吸道通畅,对手术的成功起着十分重要的作用,而且具有损伤 小,并发症少,减少了病人痛苦,缩短术后恢复时间,提高了病人的生存质量等优势。
Objective To discuss the role of retaining tracheal incubation in post-operative period of oral and maxillofacial surgery and its advantages compared to tracheotomy. Methods Tracheal intubation was used in forty-eight patients who received operation under general anaesthesia in the oral and maxillofacial region. The effects of sedation and analgesia were evaluated using Ramsay score and the score was kept at 2-4 grade during the retaining tracheal incubation . The time of retaining intubations, SpO 2, bleeding and hematoma of the operated area, pneumonia and other complications were observed. Results The time of retaining intubations was 1.56±0.74 days. SpO 2 was over 98% (99.76±0.52%). All of the patients had no airway injury and bleeding, and no pneumonia and respiratory suppression occured. Conclusion Tracheal intubation not only keeps the patients' airway unobstructed, but also has advantages of micro-injury and less complications than tracheotomy.
出处
《北京口腔医学》
CAS
2005年第1期44-46,共3页
Beijing Journal of Stomatology
