摘要
目的通过对比观察在院外急救心搏骤停患者心肺复苏抢救流程中应用气管插管方式人工通气与喉罩方式人工通气的临床疗效及预后,进一步提高院外急救心搏骤停患者的复苏时效与抢救成功率。方法选取2018年1月—2019年1月石家庄市急救中心院外急救出诊时给予心肺复苏操作的62例心搏骤停患者为研究对象,根据心肺复苏过程中人工气道建立方式的不同分为观察组与对照组,观察组(n=31)采用喉罩方式建立人工气道,对照组(n=31)采用气管插管方式建立人工气道,对两组患者一次性人工气道建立成功率、人工气道建立操作时间、自主循环恢复成功率、通气改善情况以及并发症发生率等方面进行对比分析。结果观察组一次性人工气道建立成功率明显高于对照组,人工气道建立操作时间明显短于对照组,差异有统计学意义(P<0.05)。观察组自主循环恢复成功率明显高于对照组,建立人工气道时并发症发生率明显少于对照组,差异有统计学意义(P<0.05),通气改善情况与对照组结果接近(P>0.05)。结论院外急救心搏骤停患者在心肺复苏抢救流程中应用喉罩建立人工气道,可有效提高一次性人工气道建立成功率,缩短人工气道建立时间,有效提高自主循环恢复成功率及患者通气改善情况,减少并发症发生,值得在院外急救心搏骤停患者心肺复苏抢救流程中广泛推广与应用。
Objective To observe the clinical efficacy and prognosis of the application of tracheal intubation artificial ventilation and laryngeal mask artificial ventilation in the rescue process of cardiopulmonary resuscitation for patients with cardiopulmonary resuscitation in pre-hospital emergency cardiopulmonary arrest,in order to further improve the pre-hospital emergency heartbeat Resuscitation timeliness and rescue success rate of patients with sudden arrest.Methods From January 2018 to January 2019,62 patients with cardiac arrest who were given cardiopulmonary resuscitation during pre-hospital emergency visits at Shijiazhuang Emergency Center were selected as the research objects.According to the different methods of establishing artificial airways during cardiopulmonary resuscitation For the observation group and the control group,the observation group(n=31)used a laryngeal mask to establish an artificial airway,and the control group(n=31)used a tracheal intubation method to establish an artificial airway.The establishment success rate,artificial airway establishment operation time,spontaneous circulation recovery success rate,ventilation improvement and complication rate were compared and analyzed.Results The success rate of one-time artificial airway establishment in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).The artificial airway establishment and operation time of the observation group was significantly shorter than that of the control group,and the difference was statistically significant(P<0.05).The success rate of spontaneous circulation recovery in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).The improvement of ventilation in the observation group was close to that in the control group(P>0.05).The incidence of complications during the establishment of artificial airway in the observation group was significantly less than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of the laryngeal mask method to establish an artificial airway is used in the cardiopulmonary resuscitation rescue process of patients with cardiac arrest in pre-hospital emergency.It can effectively improve the success rate of one-time artificial airway establishment,shorten the artificial airway establishment time,and effectively improve the success of spontaneous circulation recovery.It is worthy to be widely promoted and applied in the rescue process of cardiopulmonary resuscitation for patients with cardiac arrest in pre-hospital emergency.
作者
孟宇
李少波
韩拓
李香兰
张春艳
池菲
梁建琴
安慧茹
MENG Yu;LI Shaobo;HAN Tuo;LI Xianglan;ZHANG Chunyan;CHI Fei;LIANG Jianqin;AN Huiru(Shijiazhuang Emergency Center,Shijiazhuang Hebei 050021,China)
出处
《中国急救复苏与灾害医学杂志》
2022年第3期309-312,共4页
China Journal of Emergency Resuscitation and Disaster Medicine
基金
河北省医学科学研究重点课题项目计划(编号:20191017)。
关键词
院外急救
心肺复苏
人工气道
喉罩
气管插管
Pre-hospital emergency
Cardiopulmonary resuscitation
Artificial airway
Laryngeal mask
Tracheal intubation
