【摘要】：目的探討新型改良式一次性牙墊對麻醉及急危重患者搶救的價值。方法將2010年8月~2012年2月行氣管插管全身麻醉和急危重搶救行緊急氣管內(nèi)插管的308例患者隨機分為觀察組156例和對照組152例,對照組采用常規(guī)一次性牙墊固定氣管導(dǎo)管,觀察組采用新型改良式一次性牙墊固定氣管導(dǎo)管。分別于插管固定前和固定2 h、4 h、6 h、8 h時,評價兩組牙菌斑指數(shù)(PLI)、牙齦指數(shù)(GI),并比較呼吸機相關(guān)性肺炎發(fā)生率及患者舒適度。結(jié)果氣管導(dǎo)管固定后,兩組PLI和GI均顯著增長(P0.05),但觀察組各時點PLI和GI均顯著低于同時點對照組(P0.05)。觀察組固定氣管導(dǎo)管操作時間顯著少于對照組,導(dǎo)管移位、牙墊松脫、口腔黏膜損傷、口腔感染、呼吸機相關(guān)性肺炎發(fā)生率均顯著低于對照組(P0.05),患者舒適度顯著優(yōu)于對照組(P0.05)。結(jié)論新型改良式一次性牙墊固定氣管插管導(dǎo)管,其操作簡單、不易脫落、口腔并發(fā)癥少,能夠顯著降低呼吸機相關(guān)性肺炎的發(fā)生率,值得臨床推廣。
[Abstract]:Objective to explore the value of a new modified one-time dental pad in anesthesia and emergency rescue. Methods from August 2010 to February 2012, 308 patients undergoing endotracheal intubation under general anesthesia and emergency rescue were randomly divided into observation group (156 cases) and control group (152 cases). In the observation group, a new modified one-time dental pad was used to fix the trachea catheter. The plaque index (PLI),) gingival index (GI),) was evaluated before and at 2 h, 4 h, 6 h, 8 h after intubation. The incidence and comfort of ventilator-associated pneumonia were compared between the two groups. Results after tracheal catheter fixation, PLI and GI increased significantly in both groups (P0.05), but PLI and GI in observation group were significantly lower than those in control group at each time point (P0.05). The operation time of fixed trachea catheter in the observation group was significantly shorter than that in the control group, catheter displacement, loosening of the dental pad, oral mucosal injury, oral infection and ventilator-associated pneumonia were significantly lower than those in the control group (P0.05). The comfort of the patients was significantly better than that of the control group (P0.05). Conclusion the new modified one-time dental pad fixed tracheal intubation catheter is simple in operation, not easy to fall off, less complications in oral cavity, and can significantly reduce the incidence of ventilator-associated pneumonia, which is worthy of clinical popularization.
【作者單位】： 青島大學(xué)醫(yī)學(xué)院附屬威海醫(yī)院(威海市婦幼保健院)麻醉科;青島大學(xué)醫(yī)學(xué)院附屬威海醫(yī)院(威海市婦幼保健院)普外科;
【基金】：威海市科技發(fā)展計劃項目(2013GNS046-5)
【分類號】：R614
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本文編號：2445376