改良式3M弹力胶带固定法在重症监护病房经口气管插管患者中的应用效果

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Abstract Objective To explore the application effect of modified 3M elastic tape fixation method in patients with tracheal intubation through mouth in intensive care unit. Methods From December 2017 to January 2019, 100 patients with endotracheal intubation were selected as the study objects. According to random number table method, they were divided into study group (n=50) and control group (n=50). The control group used silk tape+dental pad+inch belt fixed endotracheal intubation method, and the study group used modified 3M tape +dental pad+inch belt fixed endotracheal intubation method, the degree of displacement of endotracheal intubation, facial skin injury, angle injury, oral ulcer and odor, comfort and completion time of oral care between the two groups were compared. Results The incidence of catheter displacement in the study group was lower than that in the control group (P＜0.05). The incidence of facial skin injury, angle of mouth injury, oral ulcer and oral odor in the study group was lower than that in the control group, with statistical differences (P＜0.05). The comfort of the patients in the study group was higher than that in the control group,and the oral care time was shorter than that in the control group (P＜0.05). Conclusion The improved 3M adhesive tape fixation method can reduce the incidence of catheter displacement, reduce the incidence of pressure injury to patients′facial skin caused by adhesive tape fixation, improve the oral situation, ensure the safety of patients, increase the comfort of awake patients, reduce the workload of nurses, improve the quality of nursing.

Key words： 3M elastic tape Tracheal intubation Fixation method Oral care

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	Articles by authors
	CHEN Ying-hong
	LIANG Chun-yuan
	ZHANG Mei-fen
	GUO Yue-mei

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CHEN Ying-hong,LIANG Chun-yuan,ZHANG Mei-fen, et al. Application effect of modified 3M elastic tape fixation in patients with oral tracheal intubation in intensive care unit[J]. 中国当代医药, 2020, 27(16): 240-243.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I16/240

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