可视喉镜在鼻胆管口鼻交换中的临床应用

Clinical application of visual laryngoscopy in oronasal conversion of nasobiliary

摘要:

目的 探讨在可视喉镜下进行鼻胆管口鼻交换对一次性成功率和不良事件发生率的影响。方法 将72例行内镜鼻胆管引流术（ENBD）的患者随机分为实验组和对照组，每组36例。对照组采取常规导丝法口鼻交换，实验组在可视喉镜辅助下进行口鼻交换。结果 实验组口鼻交换一次性成功36例，成功率为100.0%，对照组一次性成功30例，成功率83.3%；实验组发生呛咳1例，无导管滑脱和导管盘曲打折发生，不良事件发生率为2.8%，对照组发生呛咳4例，导管滑脱3例，导管盘曲打折2例，不良事件发生率为25.0%。结论 可视喉镜应用在鼻胆管口鼻交换时，可以提高一次性成功率，避免引导时鼻胆管打折和滑脱发生，提高工作效率和患者满意度的同时，降低了不良事件发生率。

Abstract:

Objective To investigate the effect of visual laryngoscopy in oronasal conversion of nasobiliary one-time success rate and incidence of adverse events.Methods 72 patients with endoscopic nasobiliary drainage (ENBD) were divided into experimental group and control group, with 36 patients per group. Control group performed conventional guidewire oronasal conversion, and the experimental group performed it with the assistance of visual laryngoscopy.Results The one-time success rate was 100.0% (36/36) in experimental group, 83.3% (30/36) in control group; In the experimental group, 1 case had cough, no catheter slippage or catheter buckling occurred, the incidence of adverse events was 2.8% (1/36), in the control group, there were 4 cases of cough, 3 cases of catheter slippage, 2 cases of catheter bending and discounting, and the incidence of adverse events was 25.0% (9/36).Conclusion Visual laryngoscopy in oronasal conversion of nasobiliary can improve the one-time success rate, effectively reduce the discount and slip off of nasobiliary, improve work efficiency and patient satisfaction, and reduce the incidence of adverse events.