气管插管与非气管插管在院外心肺复苏中自主恢复循环的Meta分析  

Endotracheal intubation versus no-endotracheal intubation in out-of-hospital cardiac arrest:a Meta-analysis

作　　者：刘舒嫣 黄振华[2] 梁艳冰[1] 吴敬国[1] 唐皓[1] 曾丽金[1] 王皓翔[3] 马中富[1] LIU Shu-yan;HUANG Zhen-hua;LIANG Yan-bing;WU Jing-guo;TANG Hao;ZENG Li-jin;WANG Hao-xiang;MA Zhong-fu(Department of General Medicine,the First Affiliated Hospital of Sun,Yat-sen University,Guangzhou,Guangdong 510080;Department of Emergency,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou,Guangdong 510080;School of Public Health,Sun Yat-sen University,Guangzhou,Guangdong 510080,China)

机构地区：[1]中山大学附属第一医院全科医学科,广东广州510080 [2]中山大学附属第一医院急诊科,广东广州510080 [3]中山大学公共卫生学院,广东广州510080

出　　处：《热带医学杂志》2021年第5期556-560,共5页Journal of Tropical Medicine

基　　金：广州市科技计划项目(201300000160)。

摘　　要：目的比较气管插管及非气管插管对院外心脏骤停患者自主恢复循环(ROSC)的影响。方法计算机检索PubMed、EMBase、Cochrane library、中国知网、万方等数据库,纳入已发表关于气管插管及非气管插管对院外心脏骤停患者ROSC影响的国内外相关文献,比较气管插管与非气管插管对心脏骤停患者ROSC影响。结果 12篇文献纳入分析,气管插管40 090例,非气管插管166 777例,气管插管患者ROSC高于非气管插管(OR=1.35,95%CI:1.101.64,P=0.003)。结论院外心脏骤停患者接受气管插管可提高复苏成功率。Objective To determine whether endotracheal intubation(ETI)in out-of-hospital cardiac arrest(OHCA)patients was associated with improved return of spontaneous circulation(ROSC). Methods A search was conducted in PubMed,EMBase and Cochrane library database to identify all peer-reviewed articles relevant to this Meta-analysis. All non-traumatic patients who experienced out-of-hospital cardiac arrest were included. The primary outcome was ROSC.Results Of 206 867 OHCA,40 090 received ETI,166 777 received no-ETI. ETI patients had a higher adjusted ROSC than no-ETI patients(OR=1.35,95%CI:1.10-1.64,P=0.003). Conclusions Patients with OHCA who received ETI might have more chance to ROSC.

关 键 词：心脏停搏 气管插管术 自主恢复循环 气道管理 

分 类 号：R459.7[医药卫生—急诊医学]