不同气管插管时机对急诊心肺复苏患者预后的效果分析  

Analysis of the Effect of Different Timing of Tracheal Intubation on the Prognosis of Emergency Cardiopulmonary Resuscitation Patients

作　　者：余飞 陈聪 YU Fei;CHEN Cong(Emergency Department of Nanping Second Hospital,Nanping 354200,China)

机构地区：[1]南平市第二医院急诊科,福建南平354200

出　　处：《中华灾害救援医学》2024年第2期167-169,182,共4页Chinese Journal of Disaster Medicine

摘　　要：目的探讨分析不同气管插管时机对急诊心肺复苏患者预后的效果。方法选择2021年4月至2023年4月于南平市第二医院急诊接受心肺复苏治疗的80例患者,根据就诊顺序编号并按数字随机法将入组患者分为对照组与观察组,每组各40例。对照组干预方式为及时气管插管,观察组为早期气管插管干预,对两组患者生命体征恢复时间、血气指标、心肺复苏成功后情况进行比较与分析。结果患者气道开放、呼吸恢复、心跳恢复以及意识改善所使用时间均相对更短的为观察组(P<0.05)。各血气指标在患者复苏前没有差异性(P>0.05),在复苏之后,患者的pH值与PaO_(2)水平均相对更高的为观察组,而PaCO_(2)水平相对更高的为对照组(P<0.05)。患者成功插管的概率未见差异(P>0.05),恢复窦性心律、复苏成功以及出院存活概率均相对更高的为观察组(P<0.05)。结论针对急诊接受心肺复苏的患者,给予早期气管插管能够有效增加患者心肺复苏成功概率,患者存活率得到显著提升。Objective To explore and analyze the effect of different timing of tracheal intubation on the prognosis of patients with emergency cardiopulmonary resuscitation.Methods 80 patients receiving cardiopulmonary resuscitation in the emergency department of Nanping Second Hospital from April 2021 to April 2023 were selected,numbered according to the order of treatment,and divided into the control group and the observation group with 40 cases in each group by numerical random method.The intervention method of the control group was timely tracheal intubation,and that of the observation group was early tracheal intubation intervention.The recovery time of vital signs,blood gas index,and cardiopulmonary resuscitation were compared and analyzed between the two groups.Results The time of airway opening,respiratory recovery,heartbeat recovery,and consciousness improvement were shorter in the observation group than that in the control group(P<0.05).There was no difference in blood gas indexes before resuscitation(P>0.05).After resuscitation,patients in the observation group had relatively higher pH and PaO_(2) levels,while patients with relatively higher PaCO_(2) levels were in the control group(P<0.05).There was no difference in the probability of successful intubation(P<0.05),but the probability of recovery of sinus rhythm,successful resuscitation,and survival after discharge were higher in the observation group than that in the control group(P<0.05).Conclusion For patients receiving cardiopulmonary resuscitation in emergency,early endotracheal intubation can effectively increase the probability of successful cardiopulmonary resuscitation,and the survival rate of patients can be significantly improved.

关 键 词：急诊室 医院 插管法 气管内 血气分析 心肺复苏术 

分 类 号：R459.7[医药卫生—急诊医学]