夹舌牵引气管插管法在急诊气管插管中的应用

Application of clip tongue traction in emergency endotracheal intubation

摘要:

目的  探讨夹舌牵引气管插管法与普通气管插管法在急诊危重病患者气管插管的效果和优势。方法  将需要气管插管的160例急诊患者随机分为试验组与对照组，试验组采用夹舌牵引气管插管法进行气管插管，对照组采用普通气管插管法进行气管插管。同时记录两组气管插管时间、1次成功率、插管次数及不良反应情况。结果  试验组气管插管时间、插管次数和不良反应方面少于对照组，1次成功率则高于对照组，差异有统计学意义（P =0.023）。结论  夹舌牵引气管插管法能短时间内建立人工气道，提高一次性气管插管成功率，并减少插管过程中的不良反应。

Abstract:

Objective To study the advantage of tongue traction in endotracheal intubation method in patients of emergency critical care. Methods 160 emergency patients were randomly divided into experimental group and control group. The experimental group adopted tongue traction for endotracheal intubation and the control group with normal methods. The time of the two groups for endotracheal intubation, the success rate, the number of intubation and adverse reactions were recorded and compared. Results The endotracheal intubation time, number of intubation and adverse reactions were less in the experimental group. The differences were statistically significant (P = 0.023). Conclusions The method of the clip tongue traction for endotracheal intubation establishs artificial airway in a short period of time, improves the one-time success rate and reduces the adverse reaction.