摘要
目的探讨带管芯的经鼻气管插管术的可行性。方法ASAⅠ-Ⅱ级患者60例,择期行上颌或下颌手术,随机分为实验组、对照组,每组30例。实验组以带管芯的气管导管行盲探经鼻气管插管术,对照组则不带管芯。结果实验组盲探经鼻气管插管成功率为86.7%,较对照组63.3%高(P〈0.01),实验组鼻腔出血1例,远低于对照组6例(P〈0.01)。结论带管芯的经鼻气管插管术较不带管芯的传统方法插管成功率高,发生鼻腔损伤率低,可推广用于临床。
Objective To investigate the feasibility of transnasal tracheal intubation with core catheters. Methods 60 patients with ASA Ⅰ - Ⅱ , underwent blind transnasal tracheal intubation in maxillary or mandibula operation were divided into two groups. The catheters with core was selected in experiment group, and without core in control group. Results The success rate of blind intubation was 86.7% in experiment group, higher than 63.3% of control group(P 〈 0.01 ). One case occurred nasal cavity bleeding in experiment group, less than 6 of control group ( P 〈 0.01 ). Conclusion Transnasal tracheal intubation with core catheters can be used clinically with higher intubation success rate and less nasal cavity injury.
出处
《中国现代手术学杂志》
2007年第1期66-67,共2页
Chinese Journal of Modern Operative Surgery
关键词
插管法
气管内
导管
intubation, intratracheal
catheters