在急诊心肺复苏患者中施行紧急气管插管的临床研究

Clinical study of emergency tracheal intubatio for patients with cardiopulmonary resuscitation

目的探讨在急诊心肺复苏患者中施行紧急气管插管的临床效果。方法将本院2012年6月～2014年6月收治的69例急诊心肺复苏患者按随机数字表法分为两组，研究组36例患者入院后由急诊医护人员立即行气管插管（紧急气管插管），对照组33例患者入院后则由麻醉科医师行常规气管插管（延时气管插管），比较两组患者的气管插管及心肺复苏效果。结果研究组患者的复苏成功率、出院存活率分别为55．56％、52．78％，对照组分别为30．30％、27．27％，研究组患者的复苏成功率、出院存活率均明显高于对照组（P〈0．05）；研究组患者的气管插管成功率为91．67％，对照组为96．97％，两组气管插管成功率比较差异无统计学意义（P〉0．05）；研究组患者的气管插管时间为（2．10±0．65）min，对照组为（4．72±1．20）min，研究组患者的气管插管时间明显短于对照组（P〈0．01）。结论在急诊心肺复苏患者中施行紧急经口腔气管插管的效果显著，能提高心肺复苏的成功率。

Objective To investigate the clinical effect of emergency tracheal intubatio for patients with cardiopulmonary resuscitation. Methods 69 cases patients with cardiopulmonary resuscitation into our hospital from June 2012 to June 2014 were randomly divided into two groups,study group in 36 cases were given emergency tracheal intubatio by paramedics in emergency department,control group in 33 cases were given conventional tracheal intubation by anesthetists （delayed tracheal intubation）,the clinical effect of intratracheal intubation,cardiopulmonary resuscitation in two groups were comprehensively compared. Results The successful rate of CPR and survival rate in study group were 55.56%,52.78%,and which were 30.30%,27.27% in control group,the successful rate of CPR and survival rate in study group were both higher than that in control group （P〉0.05）.The successful rate of intubation in study group was 91.67%,which was 96.97% in control group,there was no significant difference in successful rate of intubation （P〉0.05）. The tracheal intubation time of study group was （2.10±0.65） min,which was （4.72±1.20） min in control group,the tracheal intubation time of study group was less than that of control group （P〈0.01）. Conclusion Emergency tracheal intubatio has a good effect on patients with cardiopulmonary resuscitation,which can improve the successful rate of CPR.