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目的:探讨重症监护室(ICU)严重呼吸衰竭患者不同气管插管方法的临床疗效。方法:选择本院2014年8月至2015年7月诊治的ICU严重呼吸衰竭患者中抽取88例作研究对象,根据随机抽样法将其分为观察组和对照组,各44例,观察组患者在支气管镜引导下采取经鼻气管插管方法搭建人工气道,对照组患者则在喉镜引导下采取经口气管插管方法,比较两组患者插管后生命体征变化、首次插管成功率以及并发症发生率。结果:观察组患者并发症发生率为4.55%(2/44),首次插管成功率为100.00%(44/44),对照组患者并发症发生率是20.45%(9/44),首次插管成功率是79.55%(35/44)。观察组气管插管后的心率、呼吸频率、舒张压和收缩压均低于对照组;两组患者并发症发生率、首次插管成功率和插管后生命体征比较,差异均有统计学意义(P<0.05)。结论:相较于经口气管插管方法,ICU严重呼吸衰竭患者应用经鼻气管插管的并发症较少,首次插管成功率较高,且生命体征变化较小。
Objective: To investigate the clinical efficacy of different endotracheal intubation methods in intensive care unit (ICU) patients with severe respiratory failure. Methods: Eighty-eight patients with severe respiratory failure in ICU who were diagnosed and treated in our hospital from August 2014 to July 2015 were selected for study. According to the random sampling method, they were divided into observation group and control group, 44 cases in each group and observation group Under the guidance of bronchoscope, nasopharyngeal intubation was used to construct the artificial airway. In the control group, the intubation was performed under the guidance of laryngoscope. The changes of vital signs after intubation were compared between two groups. The success rate of first intubation As well as the incidence of complications. Results: The incidence of complications in the observation group was 4.55% (2/44), the success rate of the first intubation was 100.00% (44/44), the incidence of complications in the control group was 20.45% (9/44) Tube success rate was 79.55% (35/44). The heart rate, respiratory rate, diastolic blood pressure and systolic blood pressure were lower in the observation group after tracheal intubation than those in the control group. The complication rates, the success rate of the first intubation and the vital signs after intubation were statistically significant (P <0.05). Conclusion: Compared with orotracheal intubation, ICU patients with severe respiratory failure have fewer complications of nasotracheal intubation, higher success rate of first intubation, and less change of vital signs.