Clinical Research Of Self-locking Fixer For Orotracheal Intubation In Orotracheal Intubation In Elderly Patients

[Objective]This research adopted the self-locking fixer for orotracheal intubation on the breath tube intubation fixed line of elderly patients with mechanical ventilation. By comparing the catheter fixed effect, patients with oral condition, patient comfort, related complications, cost control and other indicators, the study observed the fixed effects of self-locking fixer for orotracheal intubation. Evaluation of self-locking fixer for orotracheal intubation had been applied to the security of the elderly patients and value, provide theoretical basis for its popularization and application.[Methods]This research adopted the clinical randomized controlled studies. Patients admitted to Wuxi traditional Chinese medicine hospital affiliated of Nanjing University of Chinese Medicine neurosurgery intensive care unit between 1st January 2014 and 31st December 2014 requiring intubation and mechanical ventilation were enrolled into the study. There were 120 cases randomly selected and were randomly assigned into control group and experimental group. Each contains 60 cases. Compared with the traditional fixed method group with dental pad and lace, the experimental group used the fixed method of fixation self-locking type tracheal intubation, two groups of patients with normal oral care 4 times a day, every six hours (06:00、 12:00、18:00、00:00). Adopt the original method after oral care fixed endotracheal intubation. By comparing the slip rate, displacement rate, patient comfort, oropharyngeal pain, medical adhesives-related skin injury, material costs and labor costs, the rate of ventilator-associated pneumonia (VAP) to observe the effect of intervention in elderly patients with self-locking type tracheal intubation fixer to orotracheal intubation for mechanical ventilation occurrence rate index. Using Epidata 3.1 to establish a database, and statistical analysis was performed by SPSS 17.0. Measurement data, inter group comparison, accord with normal distribution between group t tests. Count data using frequency statistical analysis, using chi square test and Fisher exact probability test. P<0.05 difference has statistics significance.[Results]There were no statistically significant (P>0.05) in sex, age, orotracheal intubation depth, respiratory failure type, pulmonary infection between the control group and the experimental group. In terms of endotracheal intubation and fixed effect, the experimental catheter shift rate is lower than the control group, the difference was statistically significant (P<0.05). Conditions in oral cavity, the experimental group the incidence of bad breath, oral ulcer incidence, oral erosion rates are lower than the control group, the difference was statistically significant (P<0.05). Comfort score in terms of comfort, test group is higher than the control group, throat pain score lower than the control group, the difference was statistically significant (P<0.05). In related complications, the experimental group in medical adhesives-related skin injury, ventilator-associated pneumonia, unscheduled decannulation cases were lower than the control group, there was no statistically significant difference (P>0.05). In terms of cost, time of oral care, used for endotracheal intubation fixed cost of consumables, endotracheal intubation fixed number, average daily dosage of propofol, experimental group were lower than the control group, the difference was statistically significant (P<0.05). The results showed that the effects of self-locking fixer for orotracheal intubation was better than that of teeth pad and lacing method, could reduce the related complications, lower costs, increase patient comfort.[Conclusions]Self-locking fixer for orotracheal intubation could effectively reduce the removal rate of tube in elderly patients with orotracheal intubation and improve comfort, improve patients with oral cavity, reduce throat pain degree, reduce the rate of medical adhesives-related skin injury, reduce cost, reduce the dosage of propofol and the occurrence of VAP. It was worth to be promoted.