摘要
目的观察和测量麻醉护士和麻醉医生使用可视喉镜在模型人上气管插管时对口咽部组织的压力并比较。
方法挑选10名麻醉护士（对其进行可视喉镜插管的理论授课，并有一定学时的实践）为A组，挑选10名麻醉医生可正确并熟练使用可视喉镜为B组，2组人员随机在相同模型人身上使用带有传感器的可视喉镜行气管插管，计算机软件记录插管期间的冲击力、平均压力、峰值力以及插管时间。结果麻醉护士使用可视喉镜传感器记录的冲击力及插管时间分别为（25.57 ± 3.37）N·s、（25.3 ± 3.3）s，均大于麻醉医生的（16.47 ± 2.99）N·s、（16.2 ± 3.0）s，差异有统计学意义（t=2.550、2.207，P 〈 0.05），而平均压力和峰值力分别为（0.87 ± 0.62）、（3.05 ± 0.95）N，与麻醉医生的（0.64 ± 0.30）、（2.06 ± 0.48）N比较，差异无统计学意义（P 〉 0.05）。结论麻醉护士使用可视喉镜行气管插管时对口咽部的作用力与麻醉医生相比差异无统计学意义，可视喉镜插管技术简单易学，护理人员掌握该插管技术并运用到临床麻醉工作及急救护理时有可行性。
ObjectiveTo observe and compare the different forces between doctors and nurses used visible laryngoscope endotracheal intubation applied to the oropharyngeal organization.Methods10 nurses （to carry on laryngoscope intubation theory, and had certain study period practice） were chosen in group A and 10 clinical anaesthetize doctors （to be possible correctly used visible laryngoscopes） were chosen in group B, two groups used the visible laryngoscope on the same model person body inserted the tube, computer monitor software recorded results.ResultsThe impulse force was （25.57±3.37） N·s and insert tube time was （25.3±3.3） s in group A which were higher than （16.47±2.99） N·s and （16.2±3.0） s in group B （t=2.550 and 2.207, P〈 0.05）. The average forces in group A and group B were （0.87±0.62） N and （0.64±0.30） N, and peak forces were （3.05±0.95） N and （2.06±0.48） N, there was no remarkable difference between the two groups （P 〉 0.05）.ConclusionsThere is no statistics difference forces applied to the oropharyngeal organization between nurses and anaesthesiologists using visible laryngoscope intubation, and visible laryngoscope intubation technique is easy to learn and it is feasible by the nurse to master the technology and applied to anesthesia intubation care and emergency care.
作者
刘翠玲
赵君
薛庆峰
牛金柱
郭红梅
Liu Culling Zhao Jun Xue Qingfeng Niu Jinzhu Guo Hongmei.(Department of Anesthesiology, Chinese People＇s Liberation Army 264th Hospital, Taiyuan 030001, China)
出处
《中国实用护理杂志》
2017年第1期13-15,共3页
Chinese Journal of Practical Nursing
关键词
模型
可视喉镜
气管插管
压力
Model
Visible laryngoscope
Endotracheal intubation
Force
