利用喉罩建立紧急气道对脑部保护效果的观察  

Observation on the effect of emergency airway established by laryngeal mask for cerebral protection

作　　者：曹军容[1] 杨志敏[2] CAO Jun-rong;YANG Zhi-ming(Department of Neurosurgery, Xiangyang Central Hospital, Xiangyang 440121, China)

机构地区：[1]襄阳市中心医院神经外科,湖北襄阳440121 [2]襄阳市中心医院护理部,湖北襄阳440121

出　　处：《中国医学装备》2017年第2期77-79,共3页China Medical Equipment

摘　　要：目的:观察利用喉罩建立紧急气道的脑保护效果,推广喉罩用于心肺复苏中紧急气道的建立。方法:选取49例呼吸骤停患者,按照过渡通气抢救方法的不同将其分为面罩组(26例)和喉罩组(23例),比较两组抢救效果。结果:通气5 min后,面罩组平均脉搏血氧饱和度(SpO_2)为78%,喉罩组为94.1%;面罩组心跳恢复22例(占84.62%),喉罩组心跳恢复23例(占100%),两组比较差异无统计学意义(x^2=2.94,P>0.05);面罩组呼吸恢复5例(占19.23%),喉罩组呼吸恢复20例(占86.96%),两组比较差异有统计学意义(x^2=19.772,P<0.05);面罩组意识恢复2例(占7.69%),喉罩组意识恢复10例(占43.48%),两组比较差异有统计学意义(x2=6.627,P<0.05)。结论:利用喉罩为呼吸骤停患者建立紧急气道,可有效改善患者脑部缺氧,极大提高自主呼吸和意识恢复的比例。Objective: To observe the effect of emergency airway established by laryngeal mask for cerebral protection, and to popularize using laryngeal mask for establishing emergency airway in cardiopulmonary resuscitation(CPR) among paramedics. Methods:To compare the rescuing effect, 49 cases of patients with cardiac arrest were divided into 2 groups as different rescue method: laryngeal mask group (23 cases), emergency airway established by laryngeal mask airway(LMA); face mask group (26 cases). Results: After aerating 5 minutes, the average oxyhemoglobin saturation has recovered to 94.1% in laryngeal mask group, and it was 78% in face mask group; heartbeat recovery rate was 100% in laryngeal mask group, and face mask group was 84.62%, and there was no statistical significant(x2=2.94, P>0.05); breathing recovery rates were 86.96% and 19.23%, respectively, in laryngeal mask group and face mask group, and there was statistical significant (x2=19.772, P<0.05); consciousness recovery rates were 43.48% and 7.69%, respectively, between the two groups, and there was statistical significant (x2=6.627, P<0.05).Conclusion: Compared with the face mask group, to establish airway for cardiac arrest patient by using laryngeal mask airway(LMA) would got efficient results in improving anoxia in cerebral, increasing spontaneous breath rate and consciousness recovery rate.

关 键 词：喉罩 紧急气道 脑保护 

分 类 号：R197.39[医药卫生—卫生事业管理]