Abstract:

Objective To design and evaluate the clinical application efficacy of a novel bilateral-separation endotracheal tube fixation device and provide references for clinical practice. Methods Using convenient sampling，60 patients from the Neurological Intensive Care Unit of a tertiary-level hospital in Zhengzhou were selected from May to December 2024. Patients were randomly divided into an experimental group（n=30） and a control group（n=30）. The experimental group utilized the novel bilateral-separation endotracheal tube fixation device，while the control group employed traditional bandage fixation methods. Differences in fixation time，tube displacement，and intubation duration were compared between the 2 groups. Results The experimental group demonstrated significantly shorter tube fixation times compared to the control group （P<0.05）. However，no statistically significant differences were observed between the groups regarding intubation duration and tube displacement（P>0.05）. Conclusion The novel bilateral-separation endotracheal tube fixation device can reduce tube fixation time for patients in neurological intensive care and enhance nurse satisfaction. Despite not showing advantages in preventing tube displacement，the device still presents promising potential for broad clinical application.

Key words: Nursing Innovation, Tracheal Intubation, Oral Care, Fixation Device

摘要：

目的 设计并评估一种改良气管插管固定装置的临床应用效果，为临床实践提供参考。 方法 采用便利抽样法，选取2024年5—12月郑州市某三级甲等医院神经内科ICU收治的60例患者为研究对象，将其随机分为试验组和对照组（每组各30例）。试验组采用改良气管插管固定装置进行气管插管固定，对照组采用传统的寸带固定法。比较两组在固定操作耗时、导管位移和插管天数方面的差异。 结果 试验组在固定耗时方面优于对照组，差异具有统计学意义（P<0.05）。然而，两组在导管位移和插管天数方面比较，差异无统计学意义（P>0.05）。 结论 应用改良气管插管固定装置可缩短气管插管患者的插管固定时间，虽然在防止导管位移方面未显示优势，但仍具有一定的临床应用潜力。

关键词: 护理创新, 气管插管, 口腔护理, 固定装置