武警医学2012，Vol.23Issue(3)：214-216,3.
老年Ⅱ型呼吸衰竭呼吸机治疗两种插管方式比较
Comparative study of elderly patients with type Ⅱrespiratory failure treated with the orotracheal and nasotracheal intubation mechanical ventilation
摘要
Abstract
Objective To study the advantages and disadvantages of orotracheal and nasotracheal intubation mechanical ventilation used to treat 1332 elderly patients with type II respiratory failure. Methods 697 patients underwent a fiberoptic bronchoscope -guided intubation through the nose while 635 patients were treated with orotracheal intubation. Then, intermittent positive pressure ventilation (IPPV) was given. Dynamic blood gas analysis was observed. Results The therapeutical effect in the two groups was satisfactory after three to seven days of rescue. Good compliance, few complications, and tolerance of long - term treatment were observed in the nasotracheal intubation group, compared with the orotracheal intubation group. Conclusion Nasotracheal intubation is a preferable treatment for elderly COPD patients with type II respiratory failure who require a long - term invasive mechanical ventilation treatment while oral intubation is suited to emergency .关键词
老年/Ⅱ型呼吸衰竭/经口气管插管/经鼻气管插管/呼吸机治疗Key words
elderly patients/ type II respiratory failure/ orotracheal intubation/ nasotracheal intubation/ mechanical ventilation分类
医药卫生引用本文复制引用
聂舟山,李毅,舒六一,温居一,冯华松,丁新民,赖莉芬,张新红,孟激光,李泳群..老年Ⅱ型呼吸衰竭呼吸机治疗两种插管方式比较[J].武警医学,2012,23(3):214-216,3.基金项目
国家"十一五"计划攻关项目(编号08G040) （编号08G040）
