摘要
目的:比较常规的气管插管通气、喉罩+气管插管通气、面罩气囊口咽通气管+气管插管通气在对心脏骤停患者进行急诊心肺复苏治疗中的应用效果。方法:选择2018年1月至2020年12月在成都市第三人民医院接受急诊心肺复苏治疗的96例心脏骤停患者作为研究对象。采用随机数表法将其分为A组(32例)、B组(32例)和C组(32例)。对A组患者进行常规的气管插管通气,对B组患者进行喉罩+气管插管通气,对C组患者进行面罩气囊口咽通气管+气管插管通气。然后比较三组患者气道开放的时间、呼吸恢复正常的时间、心搏恢复正常的时间、意识恢复正常的时间和血气指标的变化情况。结果:治疗后,B组患者与C组患者气道开放的时间、呼吸恢复正常的时间、心搏恢复正常的时间、意识恢复正常的时间相比,P>0.05;相较于A组患者,B组患者和C组患者气道开放的时间、呼吸恢复正常的时间、心搏恢复正常的时间、意识恢复正常的时间均更短,P<0.05。治疗前,三组患者血pH、动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))相比,P>0.05。治疗后,B组患者与C组患者的血pH、PaO_(2)、PaCO_(2)相比,P>0.05;相较于A组患者,B组患者和C组患者的血pH、PaCO_(2)均更低,其PaO_(2)更高,P<0.05。结论:相较于常规的气管插管通气,喉罩+气管插管通气、面罩气囊口咽通气管+气管插管通气在对心脏骤停患者进行急诊心肺复苏治疗中的应用效果更好。
Objective:To compare the application effect of conventional tracheal intubation ventilation,laryngeal mask+tracheal intubation ventilation,mask balloon oropharyngeal ventilation+tracheal intubation ventilation in emergency cardiopulmonary resuscitation(CPR)for patients with cardiac arrest.Methods:Ninety-six patients with cardiac arrest who received emergency cardiopulmonary resuscitation in The Third People’s Hospital of Chengdu from January 2018 to December 2020 were selected as the subjects.They were divided into group A(32 cases),group B(32 cases)and group C(32 cases)by random number table method.Patients in group A were treated with routine endotracheal intubation ventilation,patients in group B were treated with laryngeal mask+endotracheal intubation ventilation,and patients in group C were treated with mask balloon oropharyngeal tube+endotracheal intubation ventilation.Then,the time of airway opening,respiration returning to normal,heart beat returning to normal,consciousness returning to normal and blood gas indicators of the three groups were compared.Results:After treatment,the time of airway opening,respiration returning to normal,heart beat returning to normal and consciousness returning to normal in group B and group C were compared,P>0.05;Compared with group A,patients in group B and C had shorter airway opening time,normal breathing time,normal heart beat time and normal consciousness time,P<0.05.Before treatment,the blood pH,arterial partial pressure of oxygen(PaO_(2))and arterial partial pressure of carbon dioxide(PaCO_(2))in 3 groups were compared,P>0.05.After treatment,the blood pH,PaO_(2) and PaCO_(2) in group B were compared with those in group C,P>0.05;Compared with group A,patients in group B and C had lower blood pH and PaCO_(2),and higher PaO_(2)(P<0.05).Conclusion:Compared with conventional endotracheal intubation ventilation,laryngeal mask+endotracheal intubation ventilation,mask balloon oropharyngeal ventilation+endotracheal intubation ventilation are better in the application of emer
作者
祝勇军
ZHU YongJun(The Third People’s Hospital of Chengdu,Chengdu 610000)
关键词
通气方式
急诊
心肺复苏
血气指标
ventilation mode
Emergency
Cardiopulmonary resuscitation
Blood gas index