不同通气方法对心肺脑复苏患者的影响

Effect of Different Kinds of Ventilation in Patients Undergoing Cardiopulmonary Cerebral Resuscitation

目的:比较不同通气方法在心肺脑复苏(CPCR)中的临床应用效果。方法:,回顾性分析抢救的87例心跳骤停患者的临床资料,根据所用通气方法的不同分为3组:一次插管组、气囊面罩组和多次插管组。比较3组患者的心脏复苏(CR)成功率、心肺复苏(CPR)成功率、CPCR成功率以及复苏后多器官功能障碍综合征(PR-MODS)的发生率。结果:与一次插管组比较,气囊面罩组的复苏成功率及PR-MODS的发生率无显著差异(P>0.05),而多次插管组则显示复苏成功率明显降低,PR-MODS的发生率明显升高(P<0.05)。结论:CPCR抢救中,紧急气管插管失败后,气囊面罩加压给氧可作为过渡时期简单有效的通气方法。

Objective： To compare the clinical effect of different kinds of ventilation in cardiopulmonary cerebral resuscitation （CPCR）. Methods： According to the different methods of ventilation, 87 cases with cardiac arrest were divided into 3 groups and were analyzed retrospectively： one time intubation group, facemask ventilation group and multiple intubation group. The successful rate of cardiac resuscitation （CR）, CPR, CPCR as well as the incidence of post resuscitation multiple organ dysfunction syndrome （PR-MODS） were compared among three groups. Results： The successful rate of resuscitation and the incidence of PR-MODS in facemask ventilation group showed no significant differences compared with those in one time intubation group （P〉0. 05）, but the successful rate of resuscitation was obviously decreased and incidence of PR-MODS was significantly increased in multiple intubation group （P〈0. 05）. Conclusion： When tracheal intubation has failed, facemask with gasbag pressure ventilation can be one kind of effective ventilation method in emergency treatment of CPCR.