摘要
目的分析不同时机气管插管对急诊心肺复苏患者成功率的影响。方法回顾性分析2014年9月至2015年9月大连大学附属新华医院收治的144例急诊心肺复苏患者的临床资料,根据气管插管的不同时机分为观察组和对照组,各72例。观察组采取早期气管插管,对照组采取及时气管插管。观察比较两组气道开放时间和生命体征恢复时间(呼吸恢复时间、心跳恢复时间、意识改善时间),复苏前后体内血气指标水平[p H、动脉血二氧化碳分压(Pa CO2)、动脉血氧分压(Pa O2)],两组患者复苏成功率和出院存活率。结果观察组气道开放时间早于对照组[(36.5±2.6)s比(61.3±3.7)s],呼吸恢复时间、心跳恢复时间和意识改善时间短于对照组[(92±11)min比(126±12)min,(5.2±1.1)min比(8.9±1.6)min,(36±8)min比(54±9)min],差异有统计学意义(P<0.01)。复苏后,观察组p H值和Pa O2高于对照组[7.9±1.2比7.0±1.1,(88±8)mm Hg(1 mm Hg=0.133 k Pa)比(68±8)mm Hg],Pa CO2低于对照组[(39±5)mm Hg比(46±5)mm Hg],差异有统计学意义(P<0.01)。观察组恢复窦性心律、复苏成功和出院存活率高于对照组[87.4%(54/72)比53.6%(38/72),78.2%(56/72)比52.0%(37/72),67.3%(48/72)比43.1%(31/72)],差异有统计学意义(P<0.01)。结论对于急诊心肺复苏患者的救治,早期气管插管能增加心肺复苏的成功率及成活率,值得在临床上推广应用。
Objective To analyze the influence of different timings on the success rate of cardiopulmo- nary resuscitation for emergency patients. Methods A retrospective analysis on 144 emergency cases for car- diopulmonary resuscitation in Xinhua Hospital Affiliated to Dalian University from Sep. 2014 to Sep. 2015 was done, which were divided into an observation group and a control group according to the intubation tim- ing,72 cases each group. The observation group received early endotraeheal intubation, and the control group received timely intubation. The airway pateney time and vital signs recovery time （ breathing recovery tlme, heart rate recovery time,awareness improving time） ,the body blood gas levels before and after the recovery [ pH, arterial partial pressure of carbon dioxide （PaCO2 ）, arterial partial pressure of oxygen （PaO2 ） ] , recov- ery success rate and survival rate at discharge of the two groups were observed and compared. Results Airway opening time of the observation group was earlier than the control group [ （ 36. 5 ± 2.6 ） s vs （ 61.3± 3.7） s] ,the breathing recovery time,heart rate recovery time and awareness improving time of observation group were shorter than the control group [ （92 ± 11 ） rain vs （ 126 ± 12） rain, （ 5.2 ± 1.1 ） vain vs （8.9 ± 1.6） rain, （36 ±8） min vs （54 ±9） mini ,the differences were statistically significant（P 〈 0. 01 ）. After recovery,the pH and PaO： of the observation group were higher than the control gsoup[7.9 ± 1.2 vs 7.0 ± 1.1 ,（88 ±8） mmHg vs （68 ±8） mmHg] ,PaCO2 was lower than the control group （39 ±5） mmHg vs （46 ± 5 ） mmHg ], the difference was statistically significant （ P 〈 0. 01 ）. Sinus rhythm recovery, resuscitation success and survival rate at discharge of theobservation group were higher than the control group 87.4% （54/72） vs 53.6% （38/72）,78.2% （56/72） vs 52.0% （37/72）,67.3% （48/72） vs43.1% （31/ 72） ], the differences were statistically signif
出处
《医学综述》
2016年第14期2859-2861,共3页
Medical Recapitulate
关键词
急诊心肺复苏
不同时机
气管插管
成功率
Emergency cardiopulmonary resuscitation
Different timings
Intubation
Success rate
