摘要
目的:探讨在患者院前急救通气治疗中应用喉罩置管或气管插管的临床价值。方法:选择笔者所在中心2017年3月-2019年5月80例院前急救通气患者并根据通气方式差异分组,对照组采取气管插管通气方案,观察组改为喉罩置管通气方案。结果:两组患者置管后5 min SpO2对比无统计学意义(P>0.05);观察组插管操作用时、置管后5 min HR均低于对照组(P<0.05);观察组首次插管成功率、复苏成功率高于对照组,气道损伤率、插管对抗率低于对照组,差异有统计学意义(P<0.05)。结论:院前急救通气中采取喉罩置管的应用效果优于气管插管,有利于提高患者的复苏成功率并减少气道损伤。
Objective:To explore the clinical value of laryngeal mask intubation or tracheal intubation in pre-hospital emergency ventilation.Method:A total of 80 patients with pre-hospital emergency ventilation were selected from March 2017 to May 2019 and grouped according to the order of admission.The control group was given tracheal intubation ventilation,while the observation group was changed to laryngeal mask intubation ventilation.Result:SpO2 in 5 minutes after intubation in the two groups was not moderate(P>0.05).HR in 5 minutes after intubation in the observation group was less thanthat in the control group(P<0.05).The success rate of intubation and resuscitation in the observation group was higher than that in the control group,and the airway injury rate and intubation confrontation rate were lower than those in the control group(P<0.05).Conclusion:Laryngeal mask intubation is better than tracheal intubation in pre-hospital emergency ventilation,which is conducive to improving the success rate of resuscitation and reducing airway injury.
作者
顾昀来
GU Yunlai(Medical Emergency Center of Pudong New Area in Shanghai,Shanghai 201206,China)
出处
《中外医学研究》
2020年第3期143-145,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
院前急救
喉罩置管
气管插管
通气
Pre-hospital first aid
Laryngeal mask intubation
Tracheal intubation
Ventilation
