气管插管与机械通气对复苏成功患者出院率的影响

Effect of trachea intubation and mechanical ventilation on patient's discharge with successful resuscitation

目的研究气管插管与机械通气时机对心肺复苏成功患者的预后和出院率的影响。方法回顾性分析2005年1月至2007年2月389例临床复苏成功患者的资料,以气管插管时机与出院率的关系为重点。按现场诊断心跳骤停到气管插管完成的时间,分为3 min以内组(A组,n= 209)和以上组(B组,n=143);按到达急诊室至气管插管完成的时间,分为5 min以内组(C组,n=9)和以上组(D组,n=38),计算各组出院率;采用SPSS 11.0系统软件处理。结果心肺复苏成功率为9.75%(389/3988),其中,出院59例占1.48%(59/3988)。A组出院率19.62%(41/209),B组6.99%(10/143),A组显著高于B组(P<0.05)。C组出院率88.89%(8/9),D组0(0/28),C组显著高于D组(P<0.05)。结论及时气管插管和机械通气并做好院前院内气道管理的衔接,可明显提高心肺复苏成功患者的出院率。

Objective To study the effect of trachea intubation and mechanical ventilation on the prognosis and discharge rate of patients with successful cardiac-pulmonary resuscitation. Method The clinical data of 389 patients, who were admitted from January 2005 to February 2（107, were retrospectively analyzed. The relation between trachea intubation time and discharge rote was studied. According to the time from cardiac arrest to finishing trachea intubation, patients were divided into group A （within 3 minutes, n = 209 ） and group B （over 3 minutes, n = 143） ; according to the time from reaching emergency medicine department to finishing trachea intubation, the rest patients were divided into group C （within 5 minutes, n = 9 ） and group D （over 5 minutes, n = 38 ） minutes. The discharge rate was calculated between groups. The software of SPSS 11.0 was used for statistical analysis. Results The successful rate was 9.75 % （389/3988）, and 59 patients were discharged, with discharge rate 1.48% （59/3988）. The discharge rate of group A was 19.62% （41/209）, and was significantly higher than that of group B 6.99%（10/143） （P 〈0.05）. The discharge rate of group C was 88.89% （8/9）, and was significantly higher than that of group DO （0/28） （P〈0.05）. Conclusions Timely trachea intubation and mechanical ventilation may improve the discharge rate of patients with successful cardiac-pulmonary resuscitation.