喉罩在院前心肺复苏中的应用

Use of the Laryngeal masks in cardiopulmonary resuscitation of pre-hospital

目的观察喉罩在院前心肺复苏中建立紧急通气道的临床效果。方法将我院急诊科2005年7月至2010年12月140例院前呼吸心跳骤停患者随机分为2组,对照组70例采用简易呼吸器,观察组70例采用喉罩。对比操作的难易程度,操作所需时间,复苏成功率。结果喉罩行机械通气操作简单,一次插管成功率高,复苏成功率14.29%,高于简易呼吸器手控呼吸组(5.71%,P<0.05)。结论喉罩行机械通气操作简单、迅速、有效,气道管理方便、快捷,便于安全转运患者,进一步提高复苏成功率。

Objective To evaluate the effect with the Laryngeal Masks to establish the emergency airway in cardiopulmonary resuscitation of pre-hospital. Methods From July 2005 to December 2010,140 patients of respiration and heart arrest were randomly divided into two groups,70 cases with the simple respirator are control group, other 70 cases with the Laryngeal Masks were observation group. Compare the degree of difficulty of operation, the time required for operation, recovery rate. Results With the Laryngeal Masks to establish mechanical ventilation were simple operation. The first successful intubation was higher, recovery rate with the Laryngeal Masks group was higher than that with the simple respirator group（ 14. 29% ,5. 71% P 〈 0. 05 ）. Conclusion with the Laryngeal Masks to establish mechanical ventilation are simple operations, quick and efficient. Airway management convenient, convenient transport patient safety ,improve the recovery rate.