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目的比较床旁纤维支气管镜引导经口气管插管与常规经口气管插管在重度颅脑损伤患者中的临床效果。方法选取2010年1月—2013年6月宝丰县人民医院ICU收治的重度颅脑损伤患者58例,根据治疗方式不同分为观察组30例和对照组28例,比较两组患者插管的时间、一次性成功率、并发症及院内感染发生率。结果两组患者插管时间比较,差异无统计学意义(P>0.05)。观察组一次性成功率高于对照组,并发症及院内感染发生率低于对照组,差异有统计学意义(P<0.01)。结论床旁纤支镜引导经口气管插管治疗重度颅脑损伤患者较常规经口气管插管优势明显,可提高一次性插管成功率、降低并发症及院内感染发生率。
Objective To compare the clinical effects of bedside fiberoptic bronchoscope guided orotracheal intubation and conventional orotracheal intubation in patients with severe craniocerebral injury. Methods From January 2010 to June 2013, 58 patients with severe craniocerebral injury admitted to ICU of Baofeng County People’s Hospital were divided into observation group (30 cases) and control group (28 cases) according to different treatment methods. The duration of intubation was compared between the two groups , One-time success rate, complications and nosocomial infections. Results There was no significant difference in intubation time between the two groups (P> 0.05). The one-time success rate of the observation group was higher than that of the control group, and the incidence of complications and nosocomial infections was lower than that of the control group (P <0.01). Conclusion The bedside fiberoptic bronchoscope guided orotracheal intubation treatment of patients with severe traumatic brain injury than conventional oral tracheal intubation obvious advantages, can improve the success rate of one-time intubation, reduce complications and nosocomial infections.