摘要
目的探究序贯性气道开放对院前急救心肺复苏患者血流动力学及预后的影响。方法回顾性分析该急救中心2016年3月-2017年7月救治的80例呼吸、循环骤停,按照不同治疗方法分为研究组和对照组,每组40例。研究组给予序贯性气道开放处理,对照组给予常规气管插管处理。比较两组患者自主呼吸恢复时间、气道开放时间以及气道开放后1 h和2 h的血流动力学指标改善情况以及心肺复苏后并发症发生率(恶心、腹胀、喉咙水肿)。结果研究组患者自主呼吸恢复时间(95.5±14.8)s短于对照组(t=16.891),研究组气道开放时间(12.1±1.8)s明显短于对照组(P<0.05,t=21.316),研究组心肺复苏后2 min和5 min的PetCO2均明显高于对照组(P<0.05,t=15.415),研究组患者并发症发生率10.0%与对照组患者15.0%之间差异无统计学意义(P>0.05,χ^2=0.292)。结论对院前急救心肺复苏患者给予序贯性气道开放处理,可以明显改善其血流动力学,有效开放气道,提高院前急救心肺复苏成功率,改善患者预后情况,不会增加并发症发生率。
Objective To investigate the effects of sequential airway opening on hemodynamics and prognosis in patients with pre-hospital emergency cardiopulmonary resuscitation.Methods A retrospective analysis of 80 cases of respiratory and circulatory arrest in our emergency center from March 2016 to July 2017 was divided into study group and control group according to different treatment methods,40 cases in each group.The study group was given sequential airway open treatment,and the control group was given conventional tracheal intubation treatment.The spontaneous breathing recovery time,airway opening time,and improvement of hemodynamic parameters at 1 h and 2 h after airway opening and the incidence of complications after cardiopulmonary resuscitation (nausea,bloating,and laryngeal edema) were compared between the two groups.Results The spontaneous breathing recovery time (95.5±14.8)s was shorter in the study group than in the control group (t=16.891).The airway opening time (12.1±1.8) s in the study group was significantly shorter than that in the control group (P<0.05,t=21.316).The PetCO2 at 2 min and 5 min after cardiopulmonary resuscitation in the study group were significantly higher than those in the control group (P<0.05,t=15.415).There was no significant difference between the study group and the control group (10.0%) and the control group (15.0%)(P>0.05,χ^2=0.292).Conclusion The sequential airway open treatment for patients with pre-hospital emergency cardiopulmonary resuscitation can significantly improve their hemodynamics,effectively open the airway,improve the success rate of pre-hospital emergency cardiopulmonary resuscitation,improve the prognosis of patients,and increase complications incidence.
作者
姚明
YAO Ming(First Aid Department, Shanghai Medical Emergency Center, Shanghai, 200233 China)
出处
《中外医疗》
2019年第15期66-68,共3页
China & Foreign Medical Treatment
关键词
序贯性气道开放
心肺复苏
血流动力学
预后
Sequential airway opening
Cardiopulmonary resuscitation
Hemodynamics
Prognosis
