摘要
目的观察面罩通气联合气管插管急诊抢救老年呼吸心搏骤停患者的效果。方法选择2012年1月至2015年7月武装警察部队重庆市总队医院接诊的实施心肺复苏的76例呼吸心搏骤停患者。按照抽签法将患者分为面罩通气组和联合治疗组,每组38例。面罩通气组在心外按压的基础上给予面罩通气,联合治疗组在面罩通气组的基础上联合气管插管。比较两组患者的心博恢复时间、呼吸恢复时间、意识恢复时间、脉搏血氧饱和度、平均动脉血压、心肺复苏率和存活率等。结果联合治疗组患者呼吸、心搏恢复时间及意识恢复时间均显著短于面罩通气组[(9.1±1.5)min比(11.9±2.5)min、(5.2±1.4)min比(6.9±1.1)min、(33.5±2.2)min比(40.4±4.9)min],差异有统计学意义(P<0.01);联合治疗组的脉搏血氧饱和度和平均动脉压明显高于面罩通气组[(84.8±9.5)%比(40.5±11.7)%,(32.6±7.6)mm Hg(1 mm Hg=0.133 k Pa)比(70.9±10.5)mm Hg],差异有统计学意义(P<0.01);联合治疗组患者的心肺复苏率、自主循环恢复率以及存活率均高于面罩通气组[76.32%(29/38)比34.21%(13/38);94.73%(36/38)比44.74%(17/38);63.16%(24/38)比26.32%(10/38)],差异有统计学意义(P<0.05或P<0.01)。结论面罩通气联合气管插管急诊抢救老年呼吸心搏骤停患者的效果良好,可以有效地促进患者自主循环恢复,提高患者的心肺复苏率,提高患者的存活率。
Objective To study the effect of mask ventilation combined with tracheal intubation emergen- cy rescue for elderly patients with respiratory cardiac arrest. Methods Total of 76 elderly patients with respir- atory cardiac arrest in Chongqing Armed Police Corps Hospital from Jan. 2012 to Jul. 2015 were included in the study. According to sortition method, they were randomly divided into a mask ventilation group and a com- bined treatment group ,38 cases in each group. The mask ventilation group was given cardiac compressions on the basis of mask ventilation, and the combined treatment group was given trachea cannula on the basis of mask ventilation. The heartbeat, breathing and consciousness recovery time, pulse oximetry and mean arterial blood pressure, cardiopulmonary resuscitation and survival rates of the two groups were collected. Results The breathing, cardiac recovery time and consciousness improving time of the combined treatment group were significantly shorter than the mask ventilation group [ （9. 1 ± 1.5 ） min vs （ 11.9 ± 2.5 ） min, （ 5.2 ± 1.4 ） min vs （6.9 ±1.1） min,（33.5 ±2.2） min vs （40.4 ±4.9） mini （P 〈0.01）. The pulse oximetry and mean arterial pressure of the combined treatment group were significantly higher than the mask ventilation group[（84.8 ±9.5）% vs （40.5 ±11.7）%,（32.6 ±7.6） mmHg vs （70.9 ±10.5） mmHg] （P〈 0.01 ）. Cardiopulmonary resuscitation rate, independence circulation recovery rate and survival rate of the combined treatment group were higher than the mask ventilation group [76. 32% （29/38） vs 34.21% （ 13/ 38） ;94.73% （36/38） vs 4. 74% （ 17/38 ） ;63.16% （24/38） vs 26. 32% （ 10/38 ） ] （ P 〈 0.05 or P 〈 0. 01 ）. Conclusion Mask ventilation combined with endotracheal intubation emergency rescue for elderly patients with respiratory cardiac arrest has good effect, which can effectively promote the restoration of spontaneous circulation,increase the rate of cardiopulmonary resuscitation, thus improve the survival rate.
出处
《医学综述》
2016年第14期2872-2873,2876,共3页
Medical Recapitulate
关键词
面罩通气
气管插管
心肺复苏
Mask ventilation
Trachea cannula
Cardiopulmonary resuscitation
