气管插管与球囊面罩辅助通气在心搏骤停心肺复苏院前急救中的应用效果比较  

Comparison of the application effects of tracheal intubation and balloon mask assisted ventilation in pre-hospital emergency treatment of sudden cardiac arrest cardiopulmonary resuscitation

作　　者：张相婷 冯超 宋艳 ZHANG Xiangting;FENG Chao;SONG Yan(Department of Emergency,Shouguang Hexin Hospital,Shandong Province,Shouguang 262700,China;Department of Nephrology,Shouguang Hexin Hospital,Shandong Province,Shouguang 262700,China)

机构地区：[1]山东省寿光和信医院急诊科,山东寿光262700 [2]山东省寿光和信医院肾内科,山东寿光262700

出　　处：《中国当代医药》2024年第21期29-32,共4页China Modern Medicine

基　　金：山东省潍坊市科技计划项目(2023X073565)。

摘　　要：目的探讨球囊面罩辅助通气与气管插管在心搏骤停(SCA)心肺复苏(CPR)院前急救中的应用效果。方法回顾性分析2020年6月至2022年9月寿光和信医院收治的80例SCA行CPR院前急救患者的临床资料,按照通气方法不同分为A组(37例)及B组(43例)。A组采用球囊面罩辅助通气,B组采用气管插管辅助通气,比较两组通气及心跳相关指标、复苏成功率及生存率、心功能及血氧饱和度指标、血气指标。结果A组建立通气时间及心跳恢复时间均短于B组,差异有统计学意义(P<0.05)。A组生存率高于B组,差异有统计学意义(P<0.05);两组复苏成功率比较,差异无统计学意义(P>0.05)。A组脑钠肽水平低于B组,肌酸激酶同工酶(CK-MB)血氧饱和度及左心室射血分数(LVEF)水平均高于B组,差异有统计学意义(P<0.05)。两组患者急救前、后各血气指标水平比较,差异无统计学意义(P>0.05),两组急救后pH值、动脉血氧分压(PaO_(2))水平均高于急救前,动脉血二氧化碳分压(PaCO_(2))水平低于急救前,差异有统计学意义(P<0.05)。结论气管插管与球囊面罩辅助通气均可有效用于SCA患者CPR院前急救,但后者使用能够更好地缩短心跳恢复时间及通气建立时间,对改善患者预后具有重要作用。Objective To investigate the application effect of balloon mask assisted ventilation and endotracheal intubation in pre-hospital emergency treatment of sudden cardiac arrest(SCA)cardiopulmonary resuscitation(CPR).Methods A ret-rospective analysis was performed on the clinical data of 80 pre-hospital emergency treatment patients with SCA CPR ad-mitted to Shouguang Hexin Hospital from June 2020 to September 2022,and they were divided into group A(37 cases)and group B(43 cases)according to different ventilation methods.Balloon mask assisted ventilation was used in group A,tra-cheal intubation assisted ventilation was used in group B.The ventilation and heartbeat related indexes,resuscitation suc-cess rate and survival rate,cardiac function and blood oxygen saturation indexes and blood gas indexes were compared be-tween the two groups.Results The time of ventilation establishment and heartbeat recovery in group A were shorter than those in group B,and the differences were statistically significant(P<0.05).The survival rate of group A was higher than that of group B,and the difference was statistically significant(P<0.05).There was no significant difference in resuscitation success rate between the two groups(P>0.05).The level of brain natriuretic peptide in group A was lower than that in group B,and the levels of creatine kinase MB isoenzyme(CK-MB),blood oxygen saturation and left ventricular ejection fraction(LVEF)were higher than those in group B,with statistical significances(P<0.05).There were no statistically significant dif-ferences in blood gas indexes between the two groups before and after first aid(P>0.05).pH value and partial pressure of oxygen(PaO_(2))level of two groups after first aid were higher than those before aid,and partial pressure of carbon dioxide(Pa-CO_(2))levels were lower than those before aid,with statistical significances(P<0.05).Conclusion Both tracheal intubation and balloon mask assisted ventilation can be effectively used in pre-hospital CPR for SCA patients,but the use of the latter c

关 键 词：心搏骤停 心肺复苏 院前急救 气管插管 球囊面罩辅助通气 复苏成功率 

分 类 号：R541[医药卫生—心血管疾病]