不同辅助通气方法对心肺复苏的影响  

Effect of Different Methods of Assisted Ventilation during Cardiopulmonary Resuscitation

作　　者：欧阳后华[1] 梁大胜[1] 蓝海霞[1] 曾宇[1] 杨新疆[1] 

机构地区：[1]钦州市第二人民医院急诊科,广西钦州535000

出　　处：《医学综述》2015年第17期3264-3264,F0003,共2页Medical Recapitulate

基　　金：钦州市科学研究与技术开发计划(20111403)

摘　　要：目的探讨不同辅助通气方法对心肺复苏的影响。方法选择钦州市第二人民医院2011年1月至2013年7月院内出现心跳呼吸骤停的患者60例进行心肺复苏,按照随机数字表法分为球囊面罩通气组、球囊气管插管通气组和机械通气组,各20例,分析三组患者的自主循环恢复率、平均心跳恢复时间、平均动脉压、指脉氧饱和度。结果三组复苏成功率、平均动脉压比较差异无统计学意义(P>0.05);球囊面罩通气组、球囊气管插管通气组平均心跳恢复时间均短于机械通气组[(11.2±1.2)min,(13.8±1.3)min比(19.5±1.7)min,P<0.05];球囊面罩通气组、球囊气管插管通气组指脉氧饱和度显著高于机械通气组(0.721±0.012,0.720±0.012比0.628±0.012,P<0.05)。结论球囊面罩通气和球囊气管插管通气可使患者更早恢复心跳,保证氧供,有利于脑复苏。Objective To investigate the effects of different methods of assisted ventilation during car- diopulmanary resuscitation （CPR）. Methods Total of 60 patients of cardiopulmonary arrest for resuscitation in Qinzhou City Second People＇s Hospital from Jan. 2011 to Jul. 2013 were selected. They were randomly divided into the balloon mask ventilation group, balloon intubation ventilation group, mechanical ventilation group according to random number table method ,20 cases in each group. Recovery rate of spontaneous circu- lation,the average heart recovery time, mean arterial pressure, mean pulse oxygen saturation of the three groups were analyzed. Results There was no significant difference in the success rate of recovery and mean arterial pressure of the three groups （P 〉0.05 ）. The average heart recovery time of balloon mask ventilation group and balloon intubation ventilation group was shorter than the mechanical ventilation group [ （ 11.2 ± 1.2） rain, （ 13.8 ± 1.3 ） min vs （ 19.5 ± 1.7 ） min, P 〈 0. 05 ]. The finger pulse oximetry of balloon mask ventilation group and balloon intubation ventilation group was higher than mechanical ventilation group （0.721 ±0.012,0.720 ±0.012 vs 0.628 ±0.012,P 〈0.05）. Conclusion Balloon mask ventilation and balloon endotraeheal intubation assisted ventilation allows patients to restore the heartbeat earlier, ensuring oxygen supply and helping the brain recovery.

关 键 词：心肺复苏 辅助通气 疗效 

分 类 号：R541[医药卫生—心血管疾病]