急诊直视气管插管在心跳呼吸骤停患者心肺复苏中的应用研究  

Application of emergency direct vision endotracheal intubation in cardiopulmonary resuscitation for cardiopulmonary arrest

作　　者：苗云凤 刘海霞 张冬菊[3] 蒲燕[4] Miao Yunfeng;Liu Haixia;Zhang Dongju;Pu Yan(Department of Emergency Medicine,Hanzhong Central Hospital,Hanzhong 723000,China;Department of General Medicine,Hanzhong Central Hospital,Hanzhong 723000,China;Department of Nephrology,Hanzhong Central Hospital,Hanzhong 723000,China;Department of Pre-hospital Emergency,Hanzhong Central Hospital,Hanzhong 723000,China)

机构地区：[1]汉中市中心医院急诊医学科,汉中723000 [2]汉中市中心医院全科医学科,汉中723000 [3]汉中市中心医院肾病内科,汉中723000 [4]汉中市中心医院院前急救科,汉中723000

出　　处：《中国实用医刊》2024年第22期9-11,共3页Chinese Journal of Practical Medicine

基　　金：陕西省重点研发计划项目(2020SF-181)。

摘　　要：目的研究急诊直视气管插管在心跳呼吸骤停患者心肺复苏中的应用效果。方法队列研究。抽取2019年1月至2023年12月于汉中市中心医院接受治疗的80例心跳呼吸骤停患者,根据气管插管方式分为对照组(实施经喉气管插管抢救)与观察组(采用急诊直视气管插管抢救),每组40例。比较两组抢救成功率、心肺复苏成功率、气管插管所用时间及不良反应发生率。结果观察组气管插管所用时间短于对照组(P<0.05)。观察组气管插管成功率(97.50%,39/40)和心肺复苏成功率(87.50%,35/40)均高于对照组(85.00%,34/40;62.50%,25/40),差异有统计学意义(P<0.05)。观察组不良反应发生率(2.50%,1/40)低于对照组(22.50%,9/40),差异有统计学意义(P<0.05)。结论急诊直视气管插管用于心跳呼吸骤停患者的抢救中,有助于缩短气管插管时间,提高心肺复苏的效果,减少不良反应发生率。ObjectiveTo analyze the effect of direct vision endotracheal intubation in cardiopulmonary resuscitation for cardiac and respiratory arrest.MethodsEighty patients with cardiopulmonary arrest treated in Hanzhong Central Hospital from January 2019 to December 2023 were selected for the cohort study group.And they were divided into the control group(treated by translaryngotracheal intubation)and the observation group(treated by emergency direct vision intubation)according to tracheal intubation method,with 40 cases in each group.The success rate of rescue,success rate of cardiopulmonary resuscitation,intubation time and incidence of adverse reactions were compared between the two groups.ResultsThe intubation time of the observation group was shorter than that of the control group(P<0.05).The success rate of tracheal intubation and success rate of cardiopulmonary resuscitation in the observation group were 97.50%(39/40)and 87.50%(35/40),which were higher than the 85.00%(34/40)and 62.50%(25/40)in the control group(P<0.05).The incidence of adverse reactions in the observation group(2.50%,1/40)was lower than that in the control group(22.50%,9/40),and the difference was significant(P<0.05).ConclusionsThe application of emergency direct vision endotracheal intubation in the rescue after cardiopulmonary arrest can help to shorten the time of tracheal intubation,and improve the effect of cardiopulmonary resuscitation,with lower incidence of adverse reactions.

关 键 词：气管插管 急诊 心跳呼吸骤停 心肺复苏 成功率 

分 类 号：R459.7[医药卫生—急诊医学]