下颌前托法开放气道联合喉罩通气在颈椎损伤患者院前急救中的应用效果  

Application Effect of Open Airway Using Jaw Thrust Maneuver Combined with Laryngeal Mask Ventilation in Pre-Hospital Emergency Care of Patients with Cervical Spine Injury

作　　者：尤嘉 You Jia(Yangzhou Emergency Medical Center,Yangzhou 225000,Jiangsu Province,China)

机构地区：[1]扬州市急救中心,江苏扬州225000

出　　处：《中国社区医师》2024年第33期59-61,共3页Chinese Community Doctors

摘　　要：目的:探讨下颌前托法开放气道联合喉罩通气在颈椎损伤患者院前急救中的应用效果。方法:选取2021年12月—2024年6月扬州市急救中心救治的80例颈椎损伤患者作为研究对象,采用信封法随机分为对照组和研究组,各40例。对照组在院前急救中行喉罩通气,研究组在对照组基础上联合下颌前托法开放气道。对比两组一次插管成功率、插管时间、插管至血氧饱和度上升时间、插管不良事件发生率、颈椎功能及生活质量。结果:研究组一次插管成功率高于对照组,插管时间、插管至血氧饱和度升高时间均短于对照组(P<0.05)。研究组插管相关气道损伤、颈椎二次损伤发生率均低于对照组(P<0.05)。研究组颈椎功能障碍指数评分低于对照组,日常生活能力评定量表评分高于对照组(P<0.001)。结论:下颌前托法开放气道联合喉罩通气在颈椎损伤患者院前急救中的应用效果显著,能够提高一次插管成功率,缩短插管时间、插管至血氧饱和度升高时间,改善患者的颈椎功能,提高生活质量,降低插管不良事件发生率。Objective:To explore the application effect of open airway using jaw thrust maneuver combined with laryngeal mask ventilation in pre-hospital emergency care of patients with cervical spine injury.Methods:A total of 80 patients with cervical spine injury who received emergency care in Yangzhou Emergency Medical Center from December 2021 to June 2024 were selected as the study subjects.They were randomly divided into a study group and a control group according to the envelope method,with 40 cases in each group.The control group received laryngeal mask ventilation in pre-hospital emergency care,and the study group received open airway using jaw thrust maneuver on the basis of control group.The success rate of one intubation,intubation time,interval between intubation and the increase of blood oxygen saturation,incidence of intubation adverse events,cervical spine function and quality of life were compared between the two groups.Results:The success rate of one intubation in the study group was higher than that in the control group,and the intubation time and the interval between intubation and the increase of blood oxygen saturation in the study group were shorter than those in the control group(P<0.05).The incidences of intubation-related airway injury and cervical spine secondary injury in the study group were lower than those in the control group(P<0.05).The score of cervical spine dysfunction index in the study group was lower than that in the control group,and the score of activities of daily living in the study group was higher than that in the control group(P<0.001).Conclusion:The application of open airway using jaw thrust maneuver combined with laryngeal mask ventilation in pre-hospital emergency care of patients with cervical spine injury has significant effects,and can increase the success rate of one intubation,shorten the time of intubation and the interval between intubation and the increase of blood oxygen saturation,ameliorate the cervical spine function of patients,improve the quality of life,and red

关 键 词：颈椎损伤 院前急救 下颌前托法 气道 喉罩通气 

分 类 号：R687.3[医药卫生—骨科学]