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目的观察经鼻气管插管与经口气管插管对严重衰竭患者的临床效果。方法 100例Ⅱ型呼吸衰竭需要气管插管的患者,随机分为两组,每组50例,甲组采用纤维支气管镜引导下经鼻气管插管方式建立人工气道,乙组采用喉镜引导下经口气管插管方式,对比两组血气分析指标、生命体征变化及插管情况。结果甲组生命体征变化情况优于乙组,差异有统计学意义(P<0.05);且甲组插管用时短,每次口腔护理时间短,首次插管成功率高,脱管率低,痰痂形成率低,与乙组比较差异均有统计学意义(P<0.01或P<0.05)。结论纤维支气管镜引导下经鼻气管插管安全,成功率高,合并症较少。
Objective To observe the clinical effect of nasotracheal intubation and orotracheal intubation on patients with severe failure. Methods One hundred patients with type Ⅱ respiratory failure who needed endotracheal intubation were randomly divided into two groups (n = 50 each). Group A was instrumented to establish artificial airway with nasal endotracheal intubation guided by fiberoptic bronchoscopy and guided by laryngoscope Under the way of oral tracheal intubation, blood gas analysis of two indicators, changes in vital signs and intubation situation. Results The changes of vital signs in group A were better than those in group B (P <0.05). Group A had shorter intubation time, shorter oral care time, higher success rate of first intubation, The rate of phlegm scab formation was low, which was significantly different from that of group B (P <0.01 or P <0.05). Conclusion Nasal tracheal intubation guided by fiberoptic bronchoscope is safe and has a high success rate with fewer complications.