序贯性气道开放在院内心肺复苏中的应用及对血流动力学的影响

The Application of Sequential Airway Opening in Cardiopulmonary Resuscitation and its Influence on Hemodynamics

目的探讨不同气道开放方式在院内心肺复苏中的效果差异。方法对我院85例呼吸、循环暂停患者给予紧急心肺复苏,其中45例给予序贯性气道开放处理(序贯组),而其余40例仅给予常规气管插管处理(常规组),比较两组气道开放时间、自主呼吸恢复时间、一次性置管成功率及自主循环复苏成功率,并观察两组气道开放后1 h和2 h的血流动力学指标改善情况。结果序贯组气道开放时间和自主呼吸恢复时间分别为(11.12±2.75)s和(95.88±15.73)s,均明显短于常规组,差异具有统计学意义(P<0.05);序贯组的一次性置管成功率及自主循环复苏成功率分别为95.56%和62.22%,亦明显高于常规组,患者在气道开放后1 h和2 h内的收缩压和血氧饱和度均明显高于常规组,两组比较差异具有统计学意义(P<0.05)。结论序贯性气道开放可有效开放气道,改善血流动力学,提高院内心肺复苏的成功率。

Objective To discuss the effect of different airway opening ways in the cardiopulmonary resuscitation （CPR） in hospital. Methods 85 cases of patients with breathing or circulating suspension were given emergency cardiopulmonary resuscitation （CPR）. Among them, 45 cases were given squential airway opening （sequential group）, while the remaining 40 cases were given routine tracheal intubation （ normal group）. The two groups were compared in terms of airway opening time, spontaneous breathing recovery time, one - time success rate of catheter and success rate of spontaneous circulation recovery. And the improvement of hemodynamic parameters after 1 h and 2 hours of airway opening were observed. Results The airway opening time and spontaneous breathing recovery time in sequential group were （ 11.12 ±2. 75） s and （95.88 ±15.73） s respectively, which is significantly shorter than that in the conventional group （ P 〈 0. 05 ）. The one - time success rate of catheter and success rate of spontaneous circulation recovery in sequential group were 95.56% and 62. 22%, which are significantly higher than those in normal group. And the systolic blood pressure and blood oxygen saturation within 1 h and 2 hours after airway opening in the sequential group were significantly higher than that of the conventional group, （ P 〈 0.05 ）. Conclusion Squential airway opening is an effective way for the airway opening, and it can improve hemodynamics and the success rate of cardiopulmonary resuscitation （CPR） in hospital.