普通喉镜和可视喉镜对急诊心肺复苏抢救成功率及插管前后血压和血气指标的影响  

Effect of conventional laryngoscope and video laryngoscope on the success rate of emergency cardiopulmonary resuscitation and changes in blood pressure and blood gas indicators before and after intubation

作　　者：杨蕙萍[1] 庞卫锋[1] YANG Huiping;PANG Weifeng(Department of Emergency Medicine,Changzhou No.7 People's Hospital/Changzhou Geriatric Hospital Affiliated to Soochow University,Changzhou,Jiangsu,213011,China)

机构地区：[1]常州市第七人民医院/苏州大学附属常州老年病医院急诊内科,江苏常州213011

出　　处：《当代医学》2024年第25期115-118,共4页Contemporary Medicine

摘　　要：目的探讨普通喉镜和可视喉镜对急诊心肺复苏(cardiopulmonary resuscitation,CPR)抢救成功率及插管前后血压、血气指标的影响。方法选取2021年6月至2023年6月于常州市第七人民医院急诊抢救室接受CPR的100例患者作为研究对象,根据插管工具的不同分为对照组与观察组,每组50例。对照组采用普通喉镜进行气管插管,观察组采用可视喉镜进行气管插管。比较两组插管时间及声门暴露时间、插管前后收缩压(systolic blood pressure,SBP)和舒张压(diastolic blood pressure,DBP)、乳酸(lactate,Lac)及动脉血氧分压(arterial oxygen partial pressure,PaO2)水平,一次性插管成功率、CPR抢救成功率。结果观察组插管时间及声门暴露时间均短于对照组,差异有统计学意义(P<0.05)。插管后,观察组SBP、DBP均低于对照组,差异有统计学意义(P<0.05)。插管后,观察组Lac水平低于对照组,PaO2水平高于对照组,差异有统计学意义(P<0.05)。两组一次性插管成功率及CPR抢救成功率比较差异无统计学意义。结论与普通喉镜相比,可视喉镜虽并未明显提高急诊CPR患者一次性插管成功率和CPR抢救成功率,但可缩短插管时间、声门暴露时间,优化血流动力学指标,安全性更高。Objective To investigate the effects of conventional laryngoscope and video laryngoscope on the success rate of emergency cardiopulmonary resuscitation(CPR)and changes in blood pressure and blood gas indicators before and after intubation.Methods A total of 100 patients receiving CPR in the emergency rescue room of Changzhou No.7 People's Hospital from June 2021 to June 2023 were selected as the study subjects,and they were divided into the control group and the observation group according to different intubation tools,with 50 cases in each group.The control group was intubated by conventional laryngoscope,and the observation group was intubated by visual laryngoscope.The intubation time,glottic exposure time,systolic blood pressure(SBP)and diastolic blood pressure(DBP),lactate(Lac)and arterial oxygen partial pressure(PaO2)before and after intubation,and one-time intubation success rate,CPR rescue success rate were compared between the two groups.Results The intubation time and glottis exposure time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After intubation,SBP and DBP in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).After intubation,Lac level in the observation group was lower than that in the control group,PaO2 was higher than that in the control group,the differences were statistically significant(P<0.05).There were no significant differences in the success rate of one-time intubation and CPR rescue success rate between the two groups.Conclusion Compared with the conventional laryngoscope,although the visual laryngoscope did not significantly improve the success rate of one-time intubation and CPR rescue of emergency CPR patients,it could shorten the intubation time,glottis exposure time,optimize hemodynamic indexes,and have higher safety.

关 键 词：普通喉镜 可视喉镜 急诊心肺复苏 抢救成功率 血压水平 血气指标 

分 类 号：R459.7[医药卫生—急诊医学]