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目的:对比经口气管插管与经鼻气管插管在急危重患者中的应用价值。方法:选取于本院治疗的需机械通气的70例急危重患者作为研究对象,随机分为各有35例的两组,其中A组给予经口气管插管通气,B组给予经鼻气管插管通气,对比两组的通气效果及安全性。结果:B组的一次插管成功率与A组比较无显著性差异(P>0.05),且插管时间明显长于A组(P<0.05);但B组的并发症发生率明显低于A组(P<0.05)。结论:经口气管插管操作时间短,见效快,对于病情急重患者比较适用;而经鼻气管插管插管时间长,并发症少,对于相对不急且口固定较难患者比较适用。
Objective: To compare the value of orotracheal intubation and nasotracheal intubation in critically ill patients. Methods: Seventy patients with acute critically ill patients undergoing mechanical ventilation in our hospital were randomly divided into two groups of 35 patients. Group A received orotracheal intubation, group B received nasal intubation Ventilation tube, compared with two groups of ventilation and safety. Results: The success rate of primary intubation in group B was not significantly different from that in group A (P> 0.05), and the intubation time was significantly longer in group B than in group A (P <0.05). However, the complication rate in group B was significantly lower than that in group A Group (P <0.05). Conclusion: The operation time of oral orotracheal intubation is short and quick, which is more suitable for the patients with acute and severe conditions. The long time of intubation through nasotracheal intubation has fewer complications and is more suitable for patients who are relatively unruly and difficult to fix.