Application of medical waterproof film combined with non-woven tape fixed endotracheal tube in cleft lip/palate surgery

Yanshuang Li, Fei Peng, Di Zhang, Jie Zhang, Shanshan Wang, Yanping Wang
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Abstract

Objective To investigate the effect of applying waterproof film combined with non-woven tape fixation of endotracheal tube in cleft lip and palate operation. Methods From July 2018 to December 2018, 72 cases of cleft palate and cleft lip were selected from the operating room of the First Affiliated Hospital of Zhengzhou University The cases were randomly divided into the control group (suture and thread fixation method) and the experimental group (medical waterproof lamination combined with non-woven cloth), with 36 cases in each group. The duration of catheter fixation, intraoperative catheter fixation and postoperative catheter-related complications were compared between the two groups. Results There were statistically significant differences between the experimental group and the control group in the duration of catheter fixation, surgeon satisfaction score and incidence of needle stab injury and needle stab bleeding: (1.15±0.63) min, (4.50±0.56), 0 case, 0 case in the experimental group, and those in the control group were (2.36±0.56) min, (3.83±1.13), 6 cases, 6 cases (t values were 0.000, 14.435, χ2 values were 72.000, 6.545, P 0.05) in the experimental group. Conclusions Medical waterproof film combined with non-woven tape fixed endotracheal intubation can obviously shorten the preoperative endotracheal intubation fixing time, improve the surgeon satisfaction. At the same time, it is effective in preventing postoperative complications caused by fixation with needle and silk thread. Key words: Reinforced endotracheal tube; Cleft lip; Cleft palate; Wounds and injuries
医用防水膜联合无纺布带固定气管导管在唇腭裂手术中的应用
目的探讨防水膜联合无纺布带固定气管导管在唇腭裂手术中的应用效果。方法选择2018年7月~ 2018年12月郑州大学第一附属医院手术室内收治的腭裂唇裂患者72例,随机分为对照组(缝线固定法)和实验组(医用防水贴膜结合无纺布),每组36例。比较两组患者的置管时间、术中置管时间及术后置管相关并发症。结果实验组与对照组在置管时间、外科医生满意度评分、针刺伤及针刺伤出血发生率方面差异有统计学意义:实验组为(1.15±0.63)min、(4.50±0.56)例、0例、0例;对照组为(2.36±0.56)min、(3.83±1.13)例、6例、6例(t值分别为0.000、14.435,χ2值分别为72.000、6.545,P 0.05)。结论医用防水膜联合无纺布带固定气管插管可明显缩短术前气管插管固定时间,提高外科医生满意度。同时,可有效预防术后针丝线固定引起的并发症。关键词:强化气管插管;唇裂;腭裂;伤口和伤害
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