院前急救中喉罩置管与气管插管抢救心脏骤停效果比较  

Comparison of the effect of laryngeal mask airway and tracheal intubation in rescue of cardiac arrest in pre-hospital emergency

作　　者：郭秀娇 GUO Xiu-jiao(Yingkou City Health Service Center(Yingkou City Emergency Medical Rescue Center),Yingkou 115000,China)

机构地区：[1]营口市卫生健康服务中心(营口市紧急医疗救援中心),115000

出　　处：《中国现代药物应用》2021年第2期21-23,共3页Chinese Journal of Modern Drug Application

摘　　要：目的比较院前急救中喉罩置管和气管插管对心脏骤停患者的抢救效果。方法76例心脏骤停患者,随机分为观察组和对照组,每组38例。在院前急救中,观察组患者采用喉罩置管,对照组患者采用气管插管。比较两组患者的心功能指标、插管时间及首次插管成功率、并发症发生情况。结果观察组的左室射血分数、心排出量、每搏输出量均高于对照组,差异有统计学意义(P<0.05)。观察组的插管时间为(42.15±5.48)s,短于对照组的(103.15±10.45)s,差异有统计学意义(P<0.05)。观察组首次插管成功率为92.11%(35/38),高于对照组的65.79%(25/38),差异有统计学意义(χ^2=7.9167,P<0.05)。观察组并发症发生率为5.26%(2/38),低于对照组的28.95%(11/38),差异有统计学意义(χ^2=7.5165,P<0.05)。结论对心脏骤停患者进行院前急救的时候通过采用喉罩置管的手段进行干预能改善患者的心功能,缩短插管时间,提升首次插管成功率,减少并发症,是一种优质的置管手段。Objective To compare the rescue effect of laryngeal mask airway and tracheal intubation in cardiac arrest in pre-hospital emergency.Methods A total of 76 patients with cardiac arrest were randomly divided into observation group and control group,with 38 cases in each group.During pre-hospital emergency,the observation group was treated with laryngeal mask airway,and the control group was treated with tracheal intubation.The cardiac function,intubation time,success rate and occurrence of complications were compared between the two groups.Results The left ventricular ejection fraction,cardiac output and stroke volume of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).The intubation time of the observation group was(42.15±5.48)s,which was shorter than(103.15±10.45)s of the control group,and the difference was statistically significant(P<0.05).The success rate of first-pass intubation of the observation group was 92.11%(35/38),which was higher than 65.79%(25/38)of the control group,and the difference was statistically significant(χ^2=7.9167,P<0.05).The incidence of complications of the observation group was 5.26%(2/38),which was lower than 28.95%(11/38)of the control group,and the difference was statistically significant(χ^2=7.5165,P<0.05).Conclusion Laryngeal mask airway during pre-hospital emergency treatment can improve the cardiac function of patients with cardiac arrest,shorten the intubation time,increase success rate of first-pass intubation,and reduce complications.It is a high-quality intubation method.

关 键 词：院前急救 喉罩置管 气管插管 心脏骤停 

分 类 号：R541.78[医药卫生—心血管疾病]