心搏骤停患者心肺复苏院前急救中气管插管、球囊辅助呼吸的应用价值分析  

Analysis of Application Value of Tracheal Intubation and Balloon Assisted Breathing in Pre-hospital Emergency Treatment of Cardiac Arrest Patients Undergoing Cardiopulmonary Resuscitation

作　　者：袁锋[1] 徐术根[1] 刘科宇 Yuan Feng;Xu Shu-gen;Liu Ke-yu(Emergency Department,Changsha Central Hospital,Changsha 410004,Hunan Province,China;Changsha 120 Emergency Command Center,Changsha 410008,Hunan Province,China)

机构地区：[1]长沙市中心医院急诊科,湖南长沙410004 [2]长沙市120急救指挥中心,湖南长沙410008

出　　处：《中国社区医师》2023年第11期62-64,共3页Chinese Community Doctors

摘　　要：目的:分析心搏骤停患者心肺复苏院前急救中气管插管、球囊辅助呼吸的应用价值。方法:选取2019年1月—2021年1月长沙市中心医院急诊科院前急救的74例心搏骤停患者作为研究对象,根据随机数字表法分为观察组与对照组,各37例。对照组在心肺复苏院前急救中采用气管插管进行辅助呼吸,观察组应用球囊辅助呼吸。比较两组院前急救指标水平、并发症发生情况、血气分析指标水平。结果:观察组建立通气时间短于对照组,差异有统计学意义(P=0.000);两组复苏5 min时血氧饱和度(SaO_(2))、心肺复苏成功率比较,差异无统计学意义(P>0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P=0.032)。急救前后,两组pH值、动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、SaO_(2)比较,差异无统计学意义(P>0.05);急救后,两组pH值、PaO_(2)、SaO_(2)水平均高于急救前,PaCO_(2)水平低于急救前,差异有统计学意义(P<0.05)。结论:对于心搏骤停患者心肺复苏院前急救中应用气管插管或球囊进行辅助呼吸,均可获得确切的急救效果,但球囊辅助呼吸更有利于缩短患者的建立通气时间,降低并发症发生率。Objective:To analyze the application value of tracheal intubation and balloon assisted breathing in pre-hospital emergency treatment of cardiac arrest patients with cardiopulmonary resuscitation.Methods:A total of 74 patients with cardiac arrest who underwent pre-hospital emergency treatment at the Emergency Department of Changsha Central Hospital from January 2019 to January 2021 were selected as the study subjects.They were divided into an observation group and a control group according to random number table method,with 37 patients in each group.The control group used tracheal intubation for assisted breathing during pre-hospital emergency treatment of cardiopulmonary resuscitation,while the observation group used balloon assisted breathing.The levels of pre-hospital emergency indicators,complications,and blood gas analysis indicators were compared between the two groups.Result:The ventilation establishment time in the observation group was shorter than that in the control group,with a statistically significant difference(P=0.000);There was no significant difference in blood oxygen saturation(SaO_(2))and the success rate of cardiopulmonary resuscitation between the two groups at 5 min of resuscitation(P>0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.032).Before and after emergency treatment,there was no significant difference in pH value,arterial partial pressure of oxygen(PaO_(2)),arterial blood partial pressure of carbon dioxide(PaCO_(2))and SaO_(2) between the two groups(P>0.05);After emergency treatment,the pH value,PaO_(2),and SaO_(2) levels in the two groups were higher than those before emergency treatment,while the PaCO_(2) level was lower than that before emergency treatment,with a statistically significant difference(P<0.05).Conclusion:The use of tracheal intubation or balloon assisted breathing in pre-hospital emergency treatment of cardiopulmonary resuscitation for patients with cardiac arre

关 键 词：院前急救 心搏骤停 心肺复苏 气管插管 球囊辅助呼吸 

分 类 号：R541.78[医药卫生—心血管疾病]