喉罩在抢救呼吸骤停患者中的应用

Application of laryngeal mask in treating emergency patients with respiratory arrest

目的探讨临床更安全、更有效、更快捷地建立人工气道的方法。方法选择急救患者94例,2009年1月—2012年3月为喉罩组和2007年1月—2008年12月为气管插管组,从建立有效呼吸、循环这一过程所需时间,抢救成功率,医生对护士急救能力的认可度,患者满意率4个方面进行比较。结果喉罩组建立有效呼吸循环所需时间(16.8±5.4)s,抢救成功率(自主循环恢复即视为抢救成功)88%,医生对护士的急救能力的认可度100%,患者满意率100%。结论护士利用喉罩能更安全、更有效、更快捷地建立人工气道。

Objective To explore the more safe, more effective and more convenient clinical method for constructing artificial airway. Methods 94 emergency patients were divided into two groups according to their emergency treatment date. The patients in laryngeal mask group were se- lected from January 2009 to March 2012, while the patients in tracheal intubation group were se- lected from January 2007 to December 2008. The comparison between two groups were implement- ed from the following four aspects： duration of establishing effective breathing and circulation, suc- cess rate of rescue, doctor＇s recognition degree on nurse＇s first aid ability and patient＇s satisfaction rate. Results In laryngeal mask group, the duration of establishing effective breathing and circu- lating was （16.8 ± 5.4） s, success rate of rescue （restoration of spontaneous circulation was deemed as a successful rescue） was 88 %, the recognition of nurse＇s first aid ability and patient＇s satisfaction rate were both 100 %. Conclusion Nurses can establish artificial airway more safely, more effec- tively and more conveniently by use of laryngeal mask.