双管喉罩在基层医院心肺复苏中的应用  

Application of Proseal Laryngeal Mask Airway in Cardiopulmonary Resuscitation in Primary Hospital

作　　者：王伟琴[1] 秦燕 王蓓 何建[4] 徐海洲[1] WANG Wei - qin QIN Yan WANG Bei HE Jian XU Hai - zhou(Emergency Department , Chang- hai Hospital,Second Military Medical University, Shanghai 200433 Quyang Road Community Health Service Center,Shanghai 200437 Shanghai Yangpu District Kongjiang Hospital, Shanghai 200093 Emergency Department, Eastern Hematology Surgery Hospital, Second Military Medical University, Shanghai 201805)

机构地区：[1]第二军医大学附属长海医院急诊科,上海200433 [2]上海市曲阳路社区卫生服务中心,上海200437 [3]上海市杨浦区控江医院,上海200093 [4]第二军医大学附属东方肝胆外科医院急诊科,上海201805

出　　处：《解放军医院管理杂志》2017年第3期292-294,共3页Hospital Administration Journal of Chinese People's Liberation Army

基　　金：喉罩与股静脉穿刺技术在社区急救的运用与推广(SHDC12014232);2015长海医院教学改革基金(CHJG2015015)

摘　　要：目的探讨双管喉罩在基层医院急救心肺复苏(CPR)中的应用价值。方法选择2家基层医院2014年9月—2016年7月期间突发心跳、呼吸骤停的患者61例,随机分为A、B两组,A组31例,采用双管喉罩通气,B组30例,采用面罩通气,比较两组气道开放时间,5 min、10 min、20 min时的SpO_2≥90%的例数,30 min时心肺复苏成功的例数以及两组并发症的发生例数。结果 B组气道开放时间明显短于A组(P<0.05),A组气道开放后5 min、10 min、20 min SpO_2≥90%的例数均高于B组,A组30 min心肺复苏成功例数高于B组(P<0.05)。A组患者的胃膨胀发生率、胃内容物误吸率及气道漏气率均明显低于B组(P<0.05)。结论双管喉罩操作简单,通气效果良好,且并发症少,安全性高,适合于在基层医院中推广使用。Objective To investigate the application value of proseal laryngeal mask airway in cardiopul- monary resuscitation（CPR） in primary hospital. Methods From September 2014 to July 2016, a total of 61 cases of patients with sudden cardiac and respiratory arrest in two primary hospitals were randomly divided into 2 groups： the proseal laryngeal mask airway group （ group A） and the bagvalve mask ventilation （BMV） group （ group B）. The airway opening time, the number of the patients with SpO2 ≥90% at the time points of 5rain, 10min and 20min and of those being successfully resuscitated at the time point of 30min were compared between the two groups. The complications were also observed in the two groups. Results The airway opening time of group B was significantly shorter than that of group A, the number of the patients with SpO2 ≥90% at the time points of 5min, 10min and 20min and of those being successfully resuscitated at the time point of 30rain in group A were higher than that in group B. The incidence rate of the complications such as gastric dilation, gastric contents aspiration and airway leakage in group A was significantly lower than that in group B. Conclusion The proseal laryngeal mask airway is simple to be operated and it can lead to good ventilation effect. It is safe and has less complication. This implement can improve the success rate of eardiopulmonarv resuscitation and it is worth to be promoted in primary hospital.

关 键 词：喉罩 心肺复苏 基层医院 

分 类 号：R197.32[医药卫生—卫生事业管理]