中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
28期
172-173,176
,共3页
心肺复苏%经口腔气管插管%急诊
心肺複囌%經口腔氣管插管%急診
심폐복소%경구강기관삽관%급진
Cardio-pulmonary resuscitation%Intratracheal intubation through mouth%Emergency
目的：探讨在急诊心肺复苏患者中施行紧急气管插管的临床效果。方法将本院2012年6月~2014年6月收治的69例急诊心肺复苏患者按随机数字表法分为两组，研究组36例患者入院后由急诊医护人员立即行气管插管(紧急气管插管)，对照组33例患者入院后则由麻醉科医师行常规气管插管(延时气管插管)，比较两组患者的气管插管及心肺复苏效果。结果研究组患者的复苏成功率、出院存活率分别为55.56%、52.78%，对照组分别为30.30%、27.27%，研究组患者的复苏成功率、出院存活率均明显高于对照组(P<0.05)；研究组患者的气管插管成功率为91.67%，对照组为96.97%，两组气管插管成功率比较差异无统计学意义(P>0.05)；研究组患者的气管插管时间为(2.10±0.65)min，对照组为(4.72±1.20)min，研究组患者的气管插管时间明显短于对照组(P<0.01)。结论在急诊心肺复苏患者中施行紧急经口腔气管插管的效果显著，能提高心肺复苏的成功率。
目的：探討在急診心肺複囌患者中施行緊急氣管插管的臨床效果。方法將本院2012年6月~2014年6月收治的69例急診心肺複囌患者按隨機數字錶法分為兩組，研究組36例患者入院後由急診醫護人員立即行氣管插管(緊急氣管插管)，對照組33例患者入院後則由痳醉科醫師行常規氣管插管(延時氣管插管)，比較兩組患者的氣管插管及心肺複囌效果。結果研究組患者的複囌成功率、齣院存活率分彆為55.56%、52.78%，對照組分彆為30.30%、27.27%，研究組患者的複囌成功率、齣院存活率均明顯高于對照組(P<0.05)；研究組患者的氣管插管成功率為91.67%，對照組為96.97%，兩組氣管插管成功率比較差異無統計學意義(P>0.05)；研究組患者的氣管插管時間為(2.10±0.65)min，對照組為(4.72±1.20)min，研究組患者的氣管插管時間明顯短于對照組(P<0.01)。結論在急診心肺複囌患者中施行緊急經口腔氣管插管的效果顯著，能提高心肺複囌的成功率。
목적：탐토재급진심폐복소환자중시행긴급기관삽관적림상효과。방법장본원2012년6월~2014년6월수치적69례급진심폐복소환자안수궤수자표법분위량조，연구조36례환자입원후유급진의호인원립즉행기관삽관(긴급기관삽관)，대조조33례환자입원후칙유마취과의사행상규기관삽관(연시기관삽관)，비교량조환자적기관삽관급심폐복소효과。결과연구조환자적복소성공솔、출원존활솔분별위55.56%、52.78%，대조조분별위30.30%、27.27%，연구조환자적복소성공솔、출원존활솔균명현고우대조조(P<0.05)；연구조환자적기관삽관성공솔위91.67%，대조조위96.97%，량조기관삽관성공솔비교차이무통계학의의(P>0.05)；연구조환자적기관삽관시간위(2.10±0.65)min，대조조위(4.72±1.20)min，연구조환자적기관삽관시간명현단우대조조(P<0.01)。결론재급진심폐복소환자중시행긴급경구강기관삽관적효과현저，능제고심폐복소적성공솔。
Objective To investigate the clinical effect of emergency tracheal intubatio for patients with cardiopul-monary resuscitation. Methods 69 cases patients with cardiopulmonary resuscitation into our hospital from June 2012 to June 2014 were randomly divided into two groups,study group in 36 cases were given emergency tracheal intubatio by paramedics in emergency department,control group in 33 cases were given conventional tracheal intubation by anes-thetists (delayed tracheal intubation),the clinical effect of intratracheal intubation,cardiopulmonary resuscitation in two groups were comprehensively compared. Results The successful rate of CPR and survival rate in study group were 55.56%,52.78%,and which were 30.30%,27.27% in control group,the successful rate of CPR and survival rate in study group were both higher than that in control group (P>0.05).The successful rate of intubation in study group was 91.67%,which was 96.97%in control group,there was no significant difference in successful rate of intubation (P>0.05). The tracheal intubation time of study group was (2.10±0.65) min,which was (4.72±1.20) min in control group,the tra-cheal intubation time of study group was less than that of control group (P<0.01). Conclusion Emergency tracheal intu-batio has a good effect on patients with cardiopulmonary resuscitation,which can improve the successful rate of CPR.
