心肺复苏中两种人工通气方式的比较

Comparison of Two Artificial Ventilation Methods for Cardiopulmonary Resuscitation

目的比较在心肺复苏中球囊面罩通气和气管插管通气的临床效果。方法对43例采用球囊面罩通气和35例采用气管插管通气的心肺复苏患者进行观察,对比两组患者的心跳、呼吸骤停后得到及时供氧的时间;抢救后血氧饱和度(SaO2)上升到85%以上的比率及所需时间;胃内容物反流发生率及心肺复苏成功率。结果两组患者及时供氧的时间、SaO2>85%所需的时间及胃内容物反流率间差异有统计学意义(P<0.01),两组患者SaO2>85%的比率和复苏成功率间差异无统计学意义(P>0.05)。结论两种通气方式各有优缺点,在实际操作中可以酌情使用。

Objective To compare the clinical effect of mask ventilation and intubation ventilation in cardiopulmonary resuscitation. Methods We observed 43 patients using balloon mask ventilation and 35 using intubation ventilation in cardiopulmonary resuscitation, and compared, between the two groups, the time of receiving timely oxygen supply after cardiopalmus and respiration arrest, the rate and the required time Of oxygen saturation （ SaO3 ） rising up to more than 85 % after rescue, and anti - flow rate of stomach contents and successful rate of cardiopulmonary resuscitation. Results There was significant difference in time of timely oxygen supply, the required time of SaO2 〉 85% and anti - flow rate of stomach contents between two groups （ P 〈0. 01 ）, and no significant difference was noted in rate of SaO2 〉 85% and successful rate of recovery between them （ P 〉 0. 05）. Conclusion Each method of ventilation has advantages and disadvantages, and can be used at its discretion in actual operation.