食道-气管联合导管在院前心肺复苏中的应用

Use of the esophageal tracheal combined tube in cardiopulmonary resuscitation of prehospital

目的观察食道-气管联合导管在院前心肺复苏中建立紧急通气道的临床效果。方法将139例院前呼吸心跳骤停患者随机分为2组,对照组69例采用简易呼吸器,观察组70例采用食道-气管联合导管。对比操作的难易程度,操作所需时间,复苏成功率。结果食道-气管联合导管行机械通气操作简单,所需的时间较简易呼吸器长,但一次插管成功率高,复苏成功率高于简易呼吸器手控呼吸组(P<0.05)。结论食道-气管联合导管行机械通气操作简单、迅速、有效,气道管理方便,便于安全转运患者,进一步提高复苏成功率,值得临床应用。

Objective To evaluate the effect of the esophageal tracheal combined tube to establish the emergency airway in cardiopulmonary resuscitation of prehospital.Methods 139 patients of respiration and heart arrest were randomly divided into two groups,69 cases with the simple respirator were control group,other 70 cases with the esophageal tracheal combined tube were observation group.Degree of difficulty of operation,the time required for operation,recovery rate were compared.Results With the esophageal tracheal combined tube to establish mechanical ventilation were simple operation.The time needed was longer than that with simple respirator,but the first successful intubation was higher,recovery rate with the esophageal tracheal combined tube group was higher than that with the simple respirator group（P〈0.05）.Conclusion With the esophageal tracheal combined tube to establish mechanical ventilation are simple operation,quick and efficient.The method have the advantages of airway management convenient,convenient transport patient safety,and improve the recovery rate.It is worthy of clinical application.