插管型喉罩在心肺复苏紧急气道建立中的应用研究  

Application of intubating laryngeal mask airway in construction car diopulmonary resuscitation emergency airway

作　　者：石爱丽[1] 程玲灵 蔡文伟[1] 方玲翠[1] 杨晓燕[1] 陈略[1] SHI Aili;CHENG Lingling;CAI Wen-wei;FANG Lingcui;YANG Xiaoyan;CHEN Lue(Zhejiang Provincial People’s Hospital,Affliated People's Hospital of Hangzhou Medical College,Hangzhou 310014,China)

机构地区：[1]浙江省人民医院,浙江杭州310014

出　　处：《中国急救复苏与灾害医学杂志》2020年第11期1241-1243,共3页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：浙江省医药卫生科技项目(编号:201235096)。

摘　　要：目的探讨和分析插管型喉罩在心肺复苏紧急气道建立中的应用效果。方法选取2017年3月-2019年3月入浙江省人民医院急诊室需CPR的200例患者为研究对象,随机分为对照组(传统气道组)和观察组(插管型喉罩组)进行分析,对两组在插管操作时间、复苏时间、CPR成功率、首次插管成功率,入室时、插管前及复苏结束时Sa02、Pa02、PaC02、误吸和腹胀并发症发生率等指标进行比较。结果观察组在插管操作时间、复苏时间均短于对照组,在首次插管成功率、CPR成功率高于对照组;且插管前及复苏结束时血气分析各指标较对照组均有明显改善,差异有统计学意义(P<0.05);观察组在死亡率及并发症发生率均低于对照组。结论在急诊心肺复苏过程中,插管型喉罩在气道建立、安全性和复苏成功率上都明显优于传统气道建立方法,在院外院内提高和普及喉罩的操作及使用,有利于提高患者的心肺复苏成功率。Objective To explore and analysis the application effect of intubating laryngeal mask airway(ILMA)in construction cardiopulmonary resuscitation(CPR)emergency airway.Methods 200 patients who need CPR were selected as the research object in March 2017-March 2019 in the emergency room,divided into control group(traditional airway group)and observation group(intubation laryngeal mask group).The time of intubation operation,recovery and intubation success rate of CPR,the initial success rate of intubation,Sa02,Pa02,PaC02 of just to the emergence room,before intubation and at the end of recovery were compared between two groups.Compared with the aspiration and abdominal distension of complications indexes of two groups.Results The time of intubation operation,recovery in observation group were significantly shorter than those in the control group.The success rate of intubation for the first time,the success rate of CPR were higher than the control group;And the indexes of blood-gas analysis of before intubation and at the end of recovery were obviously improved than the control group(P<0.05).The mortality and complication rates in observation group were lower than the control group.Conclusion In the process of CPR,the ILMA in the airway intubation,safety and success rate of recovery is superior to traditional airway establishment method.Improved and popularized the operation and the use of the ILMA in prehospital and in emergency room can improve the success rate of CPR of patients.

关 键 词：插管型喉罩 气管插管 心肺复苏 

分 类 号：R459.7[医药卫生—急诊医学]