可视喉镜对急诊科心肺复苏质量及抢救成功率的影响研究  

Effect of Glidescope on Quality of Cardiopulmonary Resuscitation and Success Rate of Rescue in Emergency Department

作　　者：王桂贤 苏奕强[1] 杨晓燕[1] WANG Gui-xian;SU Yi-qiang;YANG Xiao-yang(Department of Emergency,Chaozhou Central Hospital,Chaozhou,Guangdong Province,521000 Sun Yat-sen Memorial Hospital of Sun Yat-sen University,Guangzhou)

机构地区：[1]广东省潮州市中心医院急诊科,521000

出　　处：《岭南急诊医学杂志》2021年第4期342-344,共3页Lingnan Journal of Emergency Medicine

基　　金：广东省潮州市科技项目(2019ZC21)。

摘　　要：目的:探讨可视喉镜对急诊科心肺复苏(CPR)质量及抢救成功率的影响。方法:将2019年9月至2021年3月在广东省潮州市中心医院接受CPR并行气管插管术抢救的100例心跳骤停(CA)患者随机分为观察组和对照组各50例。对照组采用传统直接喉镜进行气管插管,观察组采用可视喉镜进行气管插管。比较两组插管次数、声门暴露时间、插管用时、气道与牙齿损伤情况,插管后的平均动脉压(MAP)、呼气末二氧化碳(PetCO_(2))、动脉氧分压(PaO_(2))变化,插管及CPR成功率、存活率。结果:观察组的插管次数、声门暴露时间、插管用时、气道与牙齿损伤发生率均明显少于对照组(P<0.05);两组插管后30 min的MAP、PetCO_(2)、PaO_(2)均较插管后10 min明显提高(P<0.05),但观察组显著高于对照组(P<0.05);观察组的插管成功率、CPR成功率均明显高于对照组(P<0.05),观察组的存活率虽高于对照组,但无明显差异(P>0.05)。结论:可视喉镜可显著提高气管插管成功率,减少插管相关性损伤,有助于改善急诊CPR质量,提高抢救成功率。Objective:To explore the effect of Glidescope on the quality of cardiopulmonary resuscitation(CPR)and the success rate of rescue in emergency department. Methods:100 patients with cardiac arrest(CA)received CPR and trachea cannula were randomly divided into observation group and control group from Sep 2019 to Mar 2021,each group was 50 cases. The control group was intubated with laryngoscope,while the observation group was intubated with Glidescope. The intubation times,glottic exposure time,intubation time,airway and tooth injury and he changes of MAP,PetCO_(2),PaO_(2),the success rate of trachea cannula and survival rate of intubation and CPR were compared between the two groups. Results:The intubation times,glottic exposure time,intubation time and the incidence of airway and tooth injury in the observation group were significantly less than those in the control group(all P<0.05). Although the MAP,PetCO_(2) and PaO_(2) in the two groups after 30 min of intubation were significantly higher than those after 10 min of intubation(all P<0.05),but those in the observation group after 10 min,30 min of intubation were significantly higher than those in the control group(all P<0.05). The success rate of intubation and CPR in the observation group were significantly higher than those in the control group(P<0.05). The survival rate in the observation group was higher than that in the control group,but the difference was not statistically significant(P>0.05). Conclusion:Glidescope can significantly improve the success rate of trachea cannula,reduce intubation related injury,improve the quality of emergency CPR and the success rate of rescue.

关 键 词：可视喉镜 气管插管 心肺复苏 抢救成功率 

分 类 号：R459.7[医药卫生—急诊医学]