摘要
目的观察喉罩在院前急救心肺复苏中的应用价值。方法被选入40例为2011年1月~2013年1月急诊科院前急救的心肺复苏患者,随机分为两组,每组各20例,观察组在院前选用喉罩插管进行急救,对照组则选用气管插管进行院前急救,对两者临床疗效进行分析。结果观察组患者一次插管成功20例,插管成功率为100.0%,心肺复苏成功11例(55.0%),操作用时(38.0±10.8)s;对照组患者一次插管成功12例,插管成功率为60%,复苏成功4例(20.0%),用时(118.0±11.5)s。观察组插管成功率、心脏复苏成功率明显高于对照组,其操作时间较短,两组比较差异有统计学意义(P<0.05)。结论在院前急救时,运用喉罩通气较气管插管更安全有效,具有操作方便、迅速、成功率高、通气可靠等优点。
Objective To observe the application value of laryngeal mask airway emergency cardiopulmonary resuscitation in the prehospital.Methods 40 cases were selected for cardiopulmonary resuscitation in 2011 January to 2013 January in Department of emergency pre hospital patients,randomly divided into two groups,20 cases in each group,the observation group in pre hospital first aid using laryngeal mask airway,tracheal intubation group is the emergency pre hospital,the clinical curative ef ect of analysis.Results To observe the first intubation group were successful in 20 cases,the success rate of intubation was 100%,cardiopulmonary resuscitation was successful in 11 cases(55%),operation time(38±10.8)s;the control one time intubation group were successful in 12 cases,the success rate of intubation was 60%,4 cases recovered successful y(20%),when in use(118±11.5)s.The observation group the success rate of intubation,cardiac resuscitation success rate was significantly higher than the control group,the operation time is short,the two groups had significant dif erence(<0.05).Conclusion In pre hospital first aid,using a laryngeal mask airway with endotracheal intubation is more safe and ef ective,has the advantages of convenient operation,rapid,high success rate,ventilation and reliable.
作者
李素青
LI Su-qing(Department of Emergency,The Third Affiliated Hospital of Baotou Medical College,Baotou 014030,Inner Mongolia,China)
关键词
喉罩
心肺复苏
院前急救
Laryngeal mask
Cardiopulmonary resuscitation
Pre hospital first aid
