摘要
目的探讨一氧化碳中毒(ACOP)经正压通气治疗的疗效。方法选取2016年1~12月院前和急诊的24例采用正压通气治疗的ACOP患者作为无创正压组,另选2015年1~12月院前和急诊的24例采用面罩球囊吸氧治疗的ACOP患者作为对照组,比较两组治疗效果。结果无创正压组患者总有效率(100.00%)显著高于对照组(79.17%),差异具有统计学意义(P<0.05);无创正压组患者并发症发生率(4.17%)明显低于对照组(25.00%),差异具有统计学意义(P<0.05)。院前治疗前,两组患者血氧饱和度比较,差异无统计学意义(P>0.05);院前及急诊治疗后,无创正压组的血氧饱和度显著高于对照组,差异有统计学意义(P<0.05)。结论 ACOP院前和急诊经正压通气治疗使血氧饱和度迅速提升的同时,还能使并发症的发生率大大降低,提高其治疗效果,值得应用。
Objective To discuss the efficacy of pre-hospital emergency positive pressure ventilation in the treatment of acute carbon monoxide poisoning （ACOP）. Methods A total of 24 cases of ACOP patients treated by positive pressure ventilation in pre-hospital and emergency of January-December 2016 as non-invasive positive pressure group, and 24 cases of ACOP patients treated by mask balloon oxygen inhalation in pre-hospital and emergency of January^December 2015 as control group. The treatment effect in two groups was compared. Results Non-~nvasive positive pressure group had obviously higher total effective rate （100.00%） than the control group （79.17%）, and the difference was statistically significant （P〈0.05）. Non-invasive positive pressure group had obviously lower incidence of complications （4.17%） than the control group （25.00%）, and the difference was statistically significant （P〈0.05）. Before pre-hospital treatment, both groups had no statistically significant difference in blood oxygen saturation （P〉O.05）. After pre-hospital and emergency treatment, non-invasive positive pressnre group had obviously higher blood oxygen saturation than the control group, and the difference was statistically significant （P〈O.05）. Conclusion ACOP pre-hospital and emergency positive pressure ventilation can greatly lower the incidence of complications and improve the treatment effect, while improving blood drug saturation rapidly. So it is worthy of application.
出处
《中国实用医药》
2018年第5期21-22,共2页
China Practical Medicine
关键词
急性一氧化碳中毒
院前
急救
正压通气
Acute carbon monoxide poisoning
Pre-hospital
Emergency
Positive pressure ventilation
