便携式呼吸机在院前急救危重患者中的应用

Portable ventilator in critically ill patients in the prehospital application

目的探讨便携式呼吸机在院前急救危重患者中的应用效果。方法笔者所在医院急诊科2010年5月-2011年5月将需要采用辅助呼吸的76例院前急救危重患者,随机分为观察组和对照组,各38例,观察组气管插管后用便携式呼吸机辅助呼吸,对照组气管插管后用简易人工气囊辅助呼吸。将两组进行比较,观察两组患者血氧饱和度、心率、呼吸频率及抢救成功率。结果观察组患者的血氧饱和度、心率、呼吸频率能及时纠正,抢救成功率明显明显优于对照组,差异有统计学意义(P<0.05)。结论院前急救危重患者在气管插管后用便携式呼吸机辅助呼吸,可改善患者呼吸困难,提高血氧饱和度,同时还可以节约人力资源,为抢救患者赢得宝贵时间,提高了急危患者抢救成功率。

Objective To explore the application effect of portable ventilator in critically patients in the prehospital emergency. Methods Since May 2010 to May 2011, the 76 pre - hospital critically patients in auther＇s hospital emergency department need to use venti- lation were randomly divided into control and observation groups, both of them had 38 cases. The observation group bread with portable venti- lator aided after intubation,The control group bread with artificial respiration bag auxiliary after intubation. The two groups were observed in patients with oxygen saturation,heart rate,respiratory rate and survival rate. Results The group of patients oxygen saturation heart rate, breathing rate could be promptly corrected, the survival rate was significantly better than the control group was statistically significant（ P 〈 O. 05 ）. Conclusion Using of portable ventilator - assisted breathing of the critical patients of prehospital emengency after endotracheal intu- bation, can improve the patient＇s breathing difficulties, increase blood oxygen saturation, save human resources, gain valuable time to save the patient, improve success rate of critically ill patients.