摘要
目的 比较左侧和右侧鼻孔路径下经鼻气管插管的效果。方法 选取双侧鼻孔通气情况一致并且前鼻镜下双侧鼻道解剖结构正常的患者248例,采用随机数字表法将其分为左鼻孔组125例和右鼻孔组123例,两组患者分别采用左侧或右侧鼻孔路径进行经鼻气管插管。记录两组患者导管通过鼻道时间、插管时间、一次插管成功率、插管失败率、插管辅助率及并发症的发生率。结果 两组的导管通过鼻道时间、一次插管成功率、插管失败率,以及咽痛、声音嘶哑、饮水呛咳和嗅觉丧失的发生率比较,差异均无统计学意义(均P>0.05)。右鼻孔组的插管时间短于左鼻孔组,插管辅助率与鼻出血发生率低于左鼻孔组,鼻出血程度轻于左鼻孔组(均P<0.05)。结论 在患者左右鼻孔通气一致的情况下,经右侧鼻孔行经鼻气管插管的鼻出血率和出血严重程度较左侧更低或更轻,插管时间更短。
Objective To compare the effect of transnasotracheal intubation via left nostril approach with right nostril approach.Methods A total of 248 patients with the same ventilation of bilateral nostrils and normal anatomical structure of bilateral nasal passages confirmed by anterior rhinoscope were selected.The patients were assigned to left nostril group(125 cases)or right nostril group(123 cases)according to the random number method.The patients of the two groups received transnasotracheal intubation via left or right nostril approach.The time of catheter through nasal passages,intubation time,success rate of one-time intubation,intubation failure rate,intubation assistance rate,and the incidence rate of complications were recorded in both groups.Results There were no statistically significant differences in the time of catheter through nasal passages,the success rate of one-time intubation,the intubation failure rate,as well as the incidence rate of pharyngeal pain,hoarseness,choking cough in drinking water,and anosmia between the two groups(all P>0.05).As compared with the left nostril group,the right nostril group expressed shorter time of intubation,lower intubation assistance rate and incidence rate of epistaxis,and a slighter degree of epistaxis(all P<0.05).Conclusion When the ventilation of the left or right nostril is the same,the patients undergoing transnasotracheal intubation via right nostril obtain lower epistaxis rate and slighter epistaxis severity,and shorter intubation time as compared with the patients via left nostril.
作者
李天元
吴朱昊
王娟
董迎春
LI Tian-yuan;WU Zhu-hao;WANG Juan;DONG Ying-chun(Department of Anesthesiology,Nanjing Stomatological Hospital,Medical School of Nanjing University,Nanjing 210008,Jiangsu,China)
出处
《广西医学》
CAS
2022年第13期1467-1470,共4页
Guangxi Medical Journal
基金
江苏省“科教强卫工程”青年医学人才项目(QNRC2016117)。
关键词
经鼻气管插管
鼻孔
路径
鼻出血
并发症
Transnasotracheal intubation
Nostril
Approach
Epistaxis
Complication
