球囊面罩对心搏骤停患者院前急救效果的影响  

Impact of balloon mask on effect of prehospital first aid of patients with cardiac arrest

作　　者：王金星 赵雅莉 WANG Jin-xing;ZHAO Ya-li(Department of Prehospital First Aid,Emergency Medical Rescue Center of Gansu Province,Lanzhou 730030,China)

机构地区：[1]甘肃省紧急医疗救援中心院前急救部,730030 [2]兰州大学第二医院介入导管室,730030

出　　处：《中国实用医药》2024年第4期1-5,共5页China Practical Medicine

摘　　要：目的探讨球囊面罩对心搏骤停患者院前急救效果的影响。方法50例心搏骤停患者,以随机数字表法分为对照组和观察组,每组25例。对照组在院前急救中进行气管插管,观察组在院前急救中以球囊面罩联合气管插管进行抢救。比较两组救治效果、预后情况、不同时间点心功能[左心室射血分数(LVEF)、左心室舒张早期充盈峰最大充盈速度与舒张晚期充盈峰最大峰值速度比值(E/A)]、复苏前后血气指标[动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、酸碱度(pH)]、满意度。结果观察组气道开放时间(13.04±2.80)s、呼吸恢复时间(112.10±18.80)min、心跳恢复时间(6.38±1.45)min以及意识改善时间(44.94±9.55)min均短于对照组的(81.88±9.58)s、(158.53±24.08)min、(9.98±2.08)min、(65.89±12.35)min,统计学差异显著(P<0.05)。心肺复苏成功后6 h,两组LVEF、E/A均高于本组入院时,且观察组LVEF、E/A均高于对照组,统计学差异显著(P<0.05);心肺复苏成功后1 h,观察组LVEF、E/A高于本组入院时及对照组同期,统计学差异显著(P<0.05);对照组心肺复苏成功后1 h与入院时比较,差异无统计学意义(P>0.05);心肺复苏成功后6 h,两组LVEF、E/A均高于本组心肺复苏成功后1 h,统计学差异显著(P<0.05)。复苏后30 min,两组PaO_(2)、pH均高于复苏前,PaCO_(2)均低于复苏前,且观察组PaO_(2)(92.21±7.23)mm Hg(1 mm Hg=0.133 kPa)、pH(7.22±0.15)高于对照组的(85.87±8.38)mm Hg、(7.13±0.09),PaCO_(2)(44.92±6.30)mm Hg低于对照组的(53.18±7.81)mm Hg,统计学差异显著(P<0.05)。观察组总满意度为88.00%,高于对照组的64.00%,统计学差异显著(P<0.05)。观察组救治成功率92.00%高于对照组的64.00%,统计学差异显著(P<0.05)。结论心搏骤停患者以球囊面罩联合气管插管进行院前急救能够提高救治效果,减轻心功能损伤,改善血气指标,提高患者满意度,改善预后。Objective To investigate the impact of balloon mask on effect of prehospital first aid of patients with cardiac arrest.Methods 50 patients with cardiac arrest were divided into a control group and an observation group according to random numerical table,with 25 cases in each group.The control group underwent tracheal intubation in prehospital first aid,while the observation group underwent tracheal intubation combined with balloon mask in prehospital first aid.Comparison was made on treatment effect,prognosis,cardiac function[left ventricular ejection fraction(LVEF),ratio of early diastolic peak flow velocity of mitral valve to late diastolic peak flow velocity of mitral valve(E/A)]at different time points,blood gas index[arterial partial pressure of oxygen(PaO_(2)),arterial partial pressure of carbon dioxide(PaCO_(2)),pH]before and after resuscitation and satisfaction between the two groups.Results The observation group had airway opening time of(13.04±2.80)s,respiratory recovery time of(112.10±18.80)min,heart beat recovery time of(6.38±1.45)min,and consciousness improvement time of(44.94±9.55)min,which were shorter than(81.88±9.58)s,(158.53±24.08)min,(9.98±2.08)min,and(65.89±12.35)min in the control group,with significant statistical differences(P<0.05).At 6 h after successful cardiopulmonary resuscitation,LVEF and E/A in both groups were higher than those at admission,and LVEF and E/A in the observation group were higher than those in the control group,and there were significant statistical differences(P<0.05).At 1 h after successful cardiopulmonary resuscitation,LVEF and E/A of the observation group were significantly higher than those of this group at admission and the control group,and there were significant statistical differences(P<0.05).There was no statistically significant difference in the control group at 1 h after successful cardiopulmonary resuscitation and at admission(P>0.05).At 6 h after successful cardiopulmonary resuscitation,LVEF and E/A in both groups were higher than those in this g

关 键 词：心搏骤停 院前急救 气管插管 球囊面罩 心功能 

分 类 号：R459.7[医药卫生—急诊医学]