院前急诊正压通气应用于一氧化碳中毒治疗的临床效果观察  

Observation on clinical effect of pre-hospital emergency positive pressure ventilation in the treatment of carbon monoxide poisoning

作　　者：卢冬[1] 

机构地区：[1]沈阳急救中心,110000

出　　处：《中国实用医药》2018年第5期21-22,共2页China Practical Medicine

摘　　要：目的探讨一氧化碳中毒(ACOP)经正压通气治疗的疗效。方法选取2016年1~12月院前和急诊的24例采用正压通气治疗的ACOP患者作为无创正压组,另选2015年1~12月院前和急诊的24例采用面罩球囊吸氧治疗的ACOP患者作为对照组,比较两组治疗效果。结果无创正压组患者总有效率(100.00%)显著高于对照组(79.17%),差异具有统计学意义(P<0.05);无创正压组患者并发症发生率(4.17%)明显低于对照组(25.00%),差异具有统计学意义(P<0.05)。院前治疗前,两组患者血氧饱和度比较,差异无统计学意义(P>0.05);院前及急诊治疗后,无创正压组的血氧饱和度显著高于对照组,差异有统计学意义(P<0.05)。结论 ACOP院前和急诊经正压通气治疗使血氧饱和度迅速提升的同时,还能使并发症的发生率大大降低,提高其治疗效果,值得应用。Objective To discuss the efficacy of pre-hospital emergency positive pressure ventilation in the treatment of acute carbon monoxide poisoning （ACOP）. Methods A total of 24 cases of ACOP patients treated by positive pressure ventilation in pre-hospital and emergency of January-December 2016 as non-invasive positive pressure group, and 24 cases of ACOP patients treated by mask balloon oxygen inhalation in pre-hospital and emergency of January^December 2015 as control group. The treatment effect in two groups was compared. Results Non-~nvasive positive pressure group had obviously higher total effective rate （100.00%） than the control group （79.17%）, and the difference was statistically significant （P〈0.05）. Non-invasive positive pressure group had obviously lower incidence of complications （4.17%） than the control group （25.00%）, and the difference was statistically significant （P〈0.05）. Before pre-hospital treatment, both groups had no statistically significant difference in blood oxygen saturation （P〉O.05）. After pre-hospital and emergency treatment, non-invasive positive pressnre group had obviously higher blood oxygen saturation than the control group, and the difference was statistically significant （P〈O.05）. Conclusion ACOP pre-hospital and emergency positive pressure ventilation can greatly lower the incidence of complications and improve the treatment effect, while improving blood drug saturation rapidly. So it is worthy of application.

关 键 词：急性一氧化碳中毒 院前 急救 正压通气 

分 类 号：R595.1[医药卫生—内科学]