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Comparison of Oral Nursing on Endotracheal Intubation via The Nose and Transmouth for Patients2023-03-09 11:46Source:International Medical Research Forum
Title: Comparison of Oral Nursing on Endotracheal Intubation via The Nose and Transmouth for Patients 口腔护理在经口气管插管与经鼻气管插管的应用比较 Name(s): Xie Sha, Chen Ni, Song Jia, Xian Li, CaI Xianfu 谢沙 陈妮 宋佳 先礼 蔡贤福 Abstract: Objective: To compare the clinical application of oral nursing on endotracheal intubation via the nose and transmouth for patients. Methods: 68 cases were divided into the 32 cases of intubation through the mouth (Group A)and the 36 cases of intubation via the nose (Group B)to Compare the complications and the advantages and disadvantages of the two ways of intubation. Results: The average time of oral nursing of Group A is longer than Group B (P<0.001). The incidence rate of halitosis had significant difference between Group A and Group B (P<0.001). The incidence rate of fungal infections had statistically significant difference between Group A and Group B (P<0.05). there were no statistical significance on the fact of ventilator-associated pneumonia between Group A and Group B. Conclusion: Insertion through the mouth is easier, easier sputum drainage and less complications than insertion via the nose. Insertion via nose is more endurable, with longer retaining time, easier to stay, with easier mouth nursing. It is more effective in treating chronic respiratory diseases for patients. Insertion via nose can make patient comfortable, easier for oral care of patients and reduce the difficulty of oral nursing. 目的：对比观察经口气管插管与经鼻气管插管的口腔护理效果。方法：纳入2016年1月2019年7月我院68例经口气管插管与经鼻气管插管患者，观察两组口腔护理对患者并发症的影响。结果：68例患者中，经口气管插管患者较经鼻气管插管患者护理平均时间更长（P＜0.001）存在显著差异。口臭发生率经口气管插管发生率较经鼻气管插管更高（P＜0.001）存在显著差异。经口气管插管发生霉菌的患者较经鼻气管插管的更多差异具有统计学意义 (P＜0.05)。而在发生溃疡和VAP发生率例数上差异无统计学意义（P＞0.05）结论：在可选择气管插管方式的条件下，选用经鼻气管插管可提高患者的舒适度，更便于患者的口腔护理。节约更多护理资源，降低口腔护理难度。 Key words: Endotracheal intubation; Oral nursing; Effect 气管插管；口腔护理；效果
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