喉罩替代气管插管在心肺复苏中的临床应用

Clinical study of laryngeal mask airway instead of endotracheal intubation during cardiopulmonary resuscitation

目的探讨心肺复苏（CPR）时盲插喉罩通气对复苏成功率的影响。方法将我科2003—06～2007—05所接诊的心跳骤停患者51例作为观察组，应用盲插喉罩通气；另选同期所接诊的心跳骤停患者46例作为对照组，应用气管内插管通气。结果插管所需时间：观察组（28．1±12．6）s；对照组（130±56）s，两组比较差异有统计学意义（P〈0．001）。一次插管成功率：观察组盲探下插入喉罩一次成功47例（成功率92％）；对照组气管内插管一次成功19例（成功率41．3％），两组比较差异有统计学意义（P〈0．01）。复苏成功率：观察组复苏成功25例（成功率49％）；对照组复苏成功12例（成功率26％），两组比较差异有统计学意义（P〈0．01）。结论在CPR时，盲插喉罩通气具有操作简便、迅速、复苏成功率高的优点，可以代替气管内插管。

Objective To study the effect of laryngeal mask airway （ LMA ） by using the blind insertion approach during cardiopulmonary resuscitation（CPR）. Method 51 patients with cardiac arrest were reviewed, 51 cases in observation group were given blind inserted LMA, 46 cases in control group were given endotracheal intubation. Results The times for intubation were （28.1 ± 12.6） s in observa- tion group and （ 130±56） s in control group. There were significant differences among two groups （P 〈 0. 001 ）. The successful rates of first intubations were 92% in observation group and 41.3% in control group. There were significant differences between two groups （P 〈0.01）. Resuscitation success were 25 cases （49%） in observation group and 12 cases （26%） in control group, there were also significant differences between two groups （ P 〈 0.01 ）. Conclusions LMA can provide effective and fast airway during CPR. The resuscitation successful rate was significantly improved. LMA can substitute endotracheal intubation.