不同通气方式对急诊心肺复苏患者治疗效果的影响分析

发布时间：2018-04-21 19:32

本文选题：心肺复苏术 + 插管法　；参考：《中国全科医学》2017年S2期

【摘要】：目的探讨不同通气方式对急诊心肺复苏患者治疗效果和影响,为急诊心肺复苏患者通气方式的选择提供理论依据。方法选取2014年2月—2016年2月胜利油田中心医院接受治疗的90例急诊心肺复苏患者为研究对象,按照通气方式的不同分为A、B、C组,每组患者30例,C组患者给予常规的气管插管,A组患者给予喉罩+气管插管的通气方式,B组患者给予面罩气囊口咽通气管+气管插管,观察3组患者的临床症状变化情况,分析比较3组患者心肺复苏效果情况、血气水平情况。结果 A、B组患者的气道开放时间、心搏恢复时间、呼吸恢复时间、意识改善时间比较,差异无统计学意义(P0.05);A、B组患者的气道开放时间、心搏恢复时间、呼吸恢复时间、意识改善时间与C组比较,差异有统计学意义(P0.05);A、B组氧分压(PO_2)、二氧化碳分压(PCO_2)、酸碱度(PH)比较,差异无统计学意义(P0.05);A、B组患者的PO_2、PCO_2、PH与C组比较,差异有统计学意义(P0.05)。结论喉罩+气管插管和面罩气囊口咽通气管+气管插管相比于单纯的气管插管疗效更佳,改善了患者的症状,值得应用。
[Abstract]:Objective to explore the effect and effect of different ventilation modes on patients with emergent cardiopulmonary resuscitation (CPR), and to provide theoretical basis for the choice of ventilation modes in patients with emergent cardiopulmonary resuscitation. Methods 90 emergency cardiopulmonary resuscitation patients received treatment in Shengli Oilfield Central Hospital from February 2014 to February 2016 were selected as study subjects. 30 patients in group C were given routine tracheal intubation A group A patients were given laryngeal mask tracheal intubation. Group B patients were given mask balloon oropharynx tube tracheal intubation. The clinical symptoms of three groups were observed. The effect of cardiopulmonary resuscitation and blood gas level were analyzed and compared among the three groups. Results there was no significant difference in airway opening time, heart beat recovery time, respiratory recovery time and consciousness improvement time between patients in group A and group A (P 0.05). Compared with group C, there was significant difference in the time of consciousness improvement. There was no significant difference between group A (P 0.05) and group C (P 0.05), and there was no significant difference between group A (P 0.05) and group C (P 0.05), and there was significant difference between group C (P 0.05) and group C (P 0.05), and there was no significant difference between group A (P 0.05) and group C (P 0.05), and there was no significant difference between group A (P 0.05) and group C (P 0.05), and there was no significant difference between group A (P 0.05) and group C (P 0.05). Conclusion laryngeal mask tracheal intubation and mask balloon orifice ventilation tube are more effective than simple tracheal intubation, which can improve the symptoms of the patients and are worthy of application.
【作者单位】：胜利油田中心医院急诊科;
【分类号】：R459.7

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