CAJ | 학술논문

目的：探讨不同气道开放方式在院内心肺复苏中的效果差异。方法对我院85例呼吸、循环暂停患者给予紧急心肺复苏,其中45例给予序贯性气道开放处理(序贯组),而其余40例仅给予常规气管插管处理(常规组),比较两组气道开放时间、自主呼吸恢复时间、一次性置管成功率及自主循环复苏成功率,并观察两组气道开放后1h和2h的血流动力学指标改善情况。结果序贯组气道开放时间和自主呼吸恢复时间分别为(11.12±2.75) s和(95.88±15.73) s,均明显短于常规组,差异具有统计学意义( P<0.05)；序贯组的一次性置管成功率及自主循环复苏成功率分别为95.56%和62.22%,亦明显高于常规组,患者在气道开放后1 h和2 h内的收缩压和血氧饱和度均明显高于常规组,两组比较差异具有统计学意义(P<0.05)。结论序贯性气道开放可有效开放气道,改善血流动力学,提高院内心肺复苏的成功率。
목적：탐토불동기도개방방식재원내심폐복소중적효과차이。방법대아원85례호흡、순배잠정환자급여긴급심폐복소,기중45례급여서관성기도개방처리(서관조),이기여40례부급여상규기관삽관처리(상규조),비교량조기도개방시간、자주호흡회복시간、일차성치관성공솔급자주순배복소성공솔,병관찰량조기도개방후1h화2h적혈류동역학지표개선정황。결과서관조기도개방시간화자주호흡회복시간분별위(11.12±2.75) s화(95.88±15.73) s,균명현단우상규조,차이구유통계학의의( P<0.05)；서관조적일차성치관성공솔급자주순배복소성공솔분별위95.56%화62.22%,역명현고우상규조,환자재기도개방후1 h화2 h내적수축압화혈양포화도균명현고우상규조,량조비교차이구유통계학의의(P<0.05)。결론서관성기도개방가유효개방기도,개선혈류동역학,제고원내심폐복소적성공솔。
Objective To discuss the effect of different airway opening ways in the cardiopulmonary resuscitation ( CPR) in hos-pital. Methods 85 cases of patients with breathing or circulating suspension were given emergency cardiopulmonary resuscitation ( CPR) . Among them, 45 cases were given squential airway opening ( sequential group) , while the remaining 40 cases were given routine tracheal intubation ( normal group) . The two groups were compared in terms of airway opening time, spontaneous breathing re-covery time, one-time success rate of catheter and success rate of spontaneous circulation recovery. And the improvement of hemody-namic parameters after 1 h and 2 hours of airway opening were observed. Results The airway opening time and spontaneous breathing recovery time in sequential group were (11. 12±2. 75) s and (95. 88±15. 73) s respectively, which is significantly shorter than that in the conventional group (P<0. 05). The one-time success rate of catheter and success rate of spontaneous circulation recovery in se-quential group were 95. 56% and 62. 22%, which are significantly higher than those in normal group. And the systolic blood pressure and blood oxygen saturation within 1 h and 2 hours after airway opening in the sequential group were significantly higher than that of the conventional group, (P<0. 05). Conclusion Squential airway opening is an effective way for the airway opening, and it can improve hemodynamics and the success rate of cardiopulmonary resuscitation ( CPR) in hospital.