付玉杰 孙 燕 张艳花 韩丽莹 杨鸿瑞 张小伟 李建英

    郑州市妇幼保健院麻醉科，河南郑州 450053

    无牙颌牙垫的研制及临床应用效果

    付玉杰孙燕张艳花韩丽莹杨鸿瑞张小伟李建英

    郑州市妇幼保健院麻醉科，河南郑州450053

    目的探寻适合无牙颌患者较为方便、安全、舒适、有效固定气管插管的牙垫。方法选择2013年1月～2015年12月郑州市妇幼保健院(以下简称“我院”)收治的子宫肌瘤患者86例为研究对象，均在全身麻醉经口气管插管下行腹腔镜下子宫全切术，采用随机数字表法分为实验组与对照组，每组43例。实验组采用我院自主开发研制的一次性无牙颌牙垫方式固定气管插管；对照组采用传统方法，放置普通一次性牙垫，再用3M胶布固定气管插管。观察两组患者口腔黏膜与牙龈破损情况、气管导管移位情况、牙垫放置时间。结果两组口腔黏膜与牙龈破损情况、气管导管移位情况及牙垫放置时间比较，差异有统计学意义(P<0.05)。结论无牙颌插管患者采用新型的一次性无牙颌牙垫固定气管插管，可有效防止气管插管移位和脱管、牙垫滑脱，保护口腔黏膜及牙龈，降低更换或调整牙垫导管频率。无牙颌牙垫结构简单、便于操作、安装方便。

    无牙颌患者曰固定气管插管曰无牙颌牙垫曰研制曰临床应用

    [Abstract]Objective To exp1ore denta1 pad of suitab1e for edentu1ous patients more convenient，safe，comfortab1e，effective fixed endotrachea1 intubation.Methods 86 patients with uterine fibroids in Materna1 and Chi1d Hospita1 of Zhengzhou City("our hospita1"for short)from January 2013 to December 2015 were se1ected as study objects.Laparoscopic uterine fu11 cut method was used in a11 patients under genera1 anesthesia via tube intubation.A11 patients were divided into experimenta1 group and contro1 group according to digita1 randomized sca1e.Each group had 43 cases.Our hospita1 independent1y deve1oped a one-time edentu1ous denta1 pad was used in experimenta1 group.Traditiona1 method of norma1 tooth mat p1aced and fixed endotrachea1 intubation with 3M tape was app1ied in contro1 group.The ora1 mucosa and gum damage ......