不同时机气管插管对小儿心肺复苏成功的影响  

Efficacy of cardiopulmonary resuscitation in children with tracheal intubation in different time

作　　者：徐南平[1] 章武强[1] 林智亮 陈月[1] 熊妍妍[1] 郭兰芳[1] 周能一[1] 罗丽[1] 

机构地区：[1]江西省儿童医院急诊中心,江西南昌330006

出　　处：《中国急救医学》2017年第2期136-141,共6页Chinese Journal of Critical Care Medicine

基　　金：基金项目：江西省科技项目（20122BBG70143）

摘　　要：目的探讨院内心脏骤停（CA）患儿不同时间气管插管对心肺复苏（CPR）成功率的影响。方法选择2012-01～2015-12入本院急诊科1岁以内可用环抱法进行胸外按压的心脏骤停（心跳停止时间〈30min）患儿105例，其中甲组38例，乙组26例，丙组20例；回顾性的选择2007-01-2011-12未行气管插管的心脏骤停患儿21例为对照组。结果①四组的初步复苏成功率和自主循环恢复（ROSC）率比较差异有统计学意义（x2=16．219、17．660，P=0．001）。②甲组与乙组的初步复苏成功率和ROSC率比较差异无统计学意义（x2=1．096、0．172，P〉0．05）。③甲组与丙组的初步复苏成功比较差异有统计学意义（x2=4．852，P〈0．05）。④甲组、乙组与对照组的初步复苏成功率和ROSC率比较差异有统计学意义（x2=15．785、18．759，14．751、11．367，P〈0．01）。⑤丙组与对照组的初步复苏成功率比较差异无统计学意义（x2=3．359．P〉0．05）。结论院内抢救心脏骤停患儿推荐经5-10个循环CPR后行气管插管及气管内给药的复苏成功率明显优于15个循环CPR后行气管插管的患儿及未行气管插管的患儿。Objective To investigate the effect of cardiopulmonary resuscitation （CPR） in hospital with tracheal intubation in different times. Methods 105 cardiac arrest patients within 1 year old （cardiac arrest time 〈 30 minutes ） with chest compressions of cardiopulmonary resuscitation admitted in the emergency department of Jiangxi Children＇ s Hospital between January 2012 and December 2015 were collected and divided into 3 groups： 38 cases of group A, 26 cases of group B, 20 cases of group C, 48 male, 36 female. 21 cases cardiac arrest patients without tracheal intubation were reviewed as the control group from December 2011 to January 2007, the male 13, female 8. Results （1）There was significant difference within 4 groups of the resuscitation success rate and rate of restoration of spontaneous circulation（ROSC） （ X2 = 16. 219, 17. 660, P = 0. 001 ）. （2）The resuscitation success rate and ROSC between group A and group B were not significantly different （X2 = 1. 096, 0. 172, P 〉 0.05）. （3）The resuscitation success rate of group A and group C has statistical significant difference （ X2 = 4. 852, P 〈 0.05 ） ; it showed that the resuscitation success rate of cardiac arrest patients with tracheal intubation after 5 cycle CPR may be higher than that of patients with tracheal intubation after 15 CPR. （4）The group A and group B compared with control group of resuscitation success rate and the rate of restoration of spontaneous circulation were significantly different （X2 = 15. 785, 18. 759; 14. 751, 11. 367, P 〈 0.01 ）. It indicated that the rate of resuscitation success and restoration of spontaneous circulation in cardiac arrest patients with tracheal intubation after 5 ~ 10 cycle CPR were significantly higher than that of without tracheal intubation. （5）There were no significant statistical differences inresuscitation success rate and ROSC rate between group C and control group （ X2 = 3. 359, P 〉 0. 05 ）, suggesting that the resuscitation success rate of card

关 键 词：心脏骤停(CA) 气管插管 心肺复苏(CPR) 自主循环恢复率 复苏成功率 

分 类 号：R614[医药卫生—麻醉学]