摘要
目的:评估经口气管插管固定法的改进对患者的影响。方法:将90例经口气管插管患者采取不同的固定方法,随机分为改进组和常规组。观察两组在插管后7 d内口腔溃疡的发生率和发生时间,院内肺部感染的发生率,以及咪达唑仑的平均每天应用剂量。结果:改进组口腔溃疡的发生率较低、发生时间较晚,与常规组比较均有显著差异(P<0.05);改进组院内肺部感染的发生率较低,两组比较有显著差异(P<0.05);改进组咪达唑仑的平均每天应用剂量较小,与常规组比较有非常显著差异(P<0.01)。结论:改进的经口气管插管固定方法明显优于常规方法。
Objective: To analyze the impact of improvement of the oral endotracheal tube fixation technique(OETT) on patients.Methods: 90 patients orotracheally intubated with different fixation techniques were randomly divided into two groups: improvement group and conventional group.Patients in both groups were observed within 7 days after being intubated.The incidence rate and the onset time of oral ulcer,the nosocomial pulmonary infection and the average daily dose of midazolam were recorded.Results: The improvement group had a lower incidence rate and a later onset time of oral ulcers than that of conventional group,which was significantly different(P〈0.05);and a lower incidence rate of nosocomial pulmonary infection,which is of significantly difference from that of the conventional group(P〈0.05).What's more,the improvement group had a less average daily dose of midazolam,which is remarkably different from that of the conventional group(P〈0.01).Conclusion: The OETT technique has obvious advantage over the conventional methods.
出处
《华夏医学》
CAS
2010年第5期485-487,共3页
Acta Medicinae Sinica
关键词
经口气管插管
固定方法
改进方法
OETT
fixation technique
improvement of the method