Application of "I" type 3M adhesive tape in the fixation of toothless tracheal intubation in the elderly
“工”字型 3M 胶布贴在老年无齿气管插管固定中的应用研究

摘要

目的 分析老年无齿气管插管固定中“工”字型 3M 胶布贴的干预效果。方法 选择近 1 年本院收 治的危重症气管插管上呼吸机辅助呼吸的老年无齿患者 50 例，随机分为研究组（采用“工”字型 3M 胶布贴 进行固定气管插管，25 例）和对照组（采用传统的扁带加胶布固定气管插管，25 例），对比两组应用效果。 结果 研究组口腔溃疡发生率、口唇压疮发生率、口腔异味情况均明显更低，患者舒适度明显更高，与对照 组相比差异有统计学意义（P<0.05），两组患者均无一例出现非计划拔管、VAP；研究组一次性医疗耗材费 用更低，护士依从性更高，与对照组相比差异有统计学意义（P<0.05）。结论 采用“工”字型 3M 胶布贴的 固定方式，有效提高患者的舒适度，降低皮肤黏膜的并发症率，且节省了无菌棉垫和纱布的使用，临床应 用价值确切。

Abstract

Objective To analyze the intervention effect of "I" type 3M adhesive tape in the elderly toothless tracheal intubation fixation.
Methods Fifty elderly toothless patients who were treated in our hospital in recent one year with ventilator assisted respiration on endotracheal intubation were randomly divided into the study group (25 cases were fixed with "I" type 3M adhesive tape for endotracheal intubation) and the control group (25 cases were fixed with traditional flat tape and adhesive tape for endotracheal intubation). The application effects of the two groups were compared.
Results In the study group, the incidence of oral ulcer, the incidence of mouth and lip pressure ulcers, and the situation of oral odor were significantly lower, and the patients' comfort was significantly higher than that in the control group (P<0.05). There was no unplanned extubation or VAP in either group; The cost of disposable medical consumables in the study group was lower, and the compliance of nurses was higher, with a statistically significant difference compared with the control group (P<0.05).
Conclusion   The fixation method of "I" type 3M adhesive tape can effectively improve the comfort of patients, reduce the complication rate of skin and mucous membrane, and save the use of sterile cotton pad and gauze. It has definite clinical application value.