摘要
目的:研究喉罩人工呼吸支持在急诊科院前急救心肺复苏术(CPR)中的应用效果。方法:60例院前急救CPR患者,按照CPR方式不同分为观察组(喉罩人工呼吸支持)与对照组(面罩通气辅助呼吸后再给予气管插管),各30例。记录并比较两组CPR相关指标,于CPR前、CPR成功后2、6 h分别检测pH、血氧饱和度(SpO2)、氧分压(PaO2),记录并比较两组死亡率及不良反应发生率。结果:观察组插管所需时间、气道有效开放时间、SpO2上升时间及瞳孔回缩时间显著短于对照组,CPR成功率、一次性插管成功率显著高于对照组(P<0.05);与CPR前比较,CPR成功后2、6 h,对照组pH显著升高(P<0.05),SpO2、PaO2无显著差异(P>0.05),而观察组pH无显著差异(P>0.05),SpO2、PaO2显著升高(P<0.05);观察组死亡率及不良反应发生率显著低于对照组(P<0.05)。结论:喉罩人工呼吸支持操作简单,安全性高,可帮助患者尽快恢复自主呼吸和自主循环,且对患者心血管系统影响小,在院前急救中的应用优势明显。
Objective To explore the application effects of laryngeal mask artificial respiration support on prehospital emergency cardiopulmonary resuscitation(CPR)in emergency department.Methods Sixty patients who underwent prehospital emergency CPR were enrolled in the study and divided into observation group(laryngeal mask artificial respiration support)and control group(tracheal intubation after assisted respiration with face mask ventilation)according to different CPR methods,with 30 cases in each group.The indicators related to CPR were recorded and compared between two groups.The pH,blood oxygen saturation(SpO2)and partial pressure of oxygen(PaO2)were measured before CPR and at 2 h and 6 h after successful CPR.The mortality rate and the incidence rate of adverse reactions were recorded and compared between two groups.Results The time required for intubation,effective airway opening time,rise time of SpO2 and pupil contraction time in observation group were significantly shorter than those in control group,and the success rate of CPR and the success rate of the first attempt at intubation were significantly higher than those in control group(P<0.05).Compared with those before CPR,the pH in control group was increased significantly at 2 h and 6 h after successful CPR(P<0.05),and there was no significant difference in SpO2 and PaO2(P>0.05).However,the SpO2 and PaO2 in observation group at 2 h and 6 h after successful CPR were significantly higher than those before CPR(P<0.05),and no significant difference was found in pH(P>0.05).The mortality rate and the incidence rate of adverse reactions in observation group were significantly lower than those in control group(P<0.05).Conclusion Laryngeal mask artificial respiration support,with simple operation and high safety,not only can help patients to recover spontaneous breathing and spontaneous circulation as soon as possible,but also has little impact on the cardiovascular system of patients.In summary,laryngeal mask artificial respiration support has obvious application advantages in prehospital emergency.
作者
周世辉
翟桂兰
马雪
ZHOU Shihui;ZHAI Guilan;MAXue(Department of Emergency,the First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121000,China)
出处
《中国医学物理学杂志》
CSCD
2019年第8期985-988,共4页
Chinese Journal of Medical Physics
关键词
喉罩
面罩
气管插管
院前急救
心肺复苏
laryngeal mask
face mask
tracheal intubation
prehospital emergency
cardiopulmonary resuscitation
作者简介
周世辉,硕士,主治医师,E-mail:1060402586@qq.com;通信作者:马雪,硕士,主治医师,E-mail:zhu66333@163.com
