急诊内科危重患者气管插管时机与方法探讨

Timing and Methods of Tracheal Intubation in Critically ill Patients in E-mergency Internal Medicine

目的对急诊内科危重患者气管插管时机与方法进行探讨。方法随机选取该院2013年2月—2015年2月收治的使用气管插管进行治疗的危重患者共200例,将其随机分为对照组和观察组,每组100例。观察组患者进行立即插管,对照组患者进行延时插管。对两组患者对插管成功率、插管所需时间、从准备到插管时间、抢救成功率、插管成功率以及1个月之内的存活率进行比较。结果对照组插管所需时间为(1.5±1.0)min,抢救成功率为11.0%,1个月内的存活率为3.0%;观察组的插管所需时间为(3.1±1.0)min,抢救成功率为19.0%,1个月之内的存活率为10.0%,观察组优于对照组,差异具有统计学意义(P<0.05)。对照组的插管成功率为98.0%,准备到开始插管时间为(5.3±3.2)min,观察组的插管成功率为92.0%,准备到开始插管时间为(10.2±20.1)min,差异具有统计学意义(P<0.05)。结论急诊内科要掌握合适的插管时机和插管方法,提高对危重患者进行抢救的成功率,同时提高患者的存活率。

Objective The timing and methods of tracheal intubation in critically ill patients in emergency internal medicine. Methods Random selected in our hospital in February 2013 to February 2015 were endotracheal intubation for treatment of critically ill patients with a total of 200 cases, were randomly assigned for the observation group and the control group, patients in study group were treated with immediate intubation, the patients of control group were treated with delay time spile. Two groups of patients on the success rate of intubation, intubation time required, from the preparation to the intubation time, success rate, success rate and the survival rate of 1 months compared to the survival rate. Results The control group was required for the time（1.5 ± 1.0） min, the rescue success rate of 11.0%, one month survival rate was 3%; the time required for intubation in the observation group（3.1±1.0） min, the rescue success rate of 19.0%, within a month survival rate was 10.0%, the observation group was better than that the control group, the difference was statistically significant（P〈0.05）. The success rate of intubation was 98.0% in the control group, ready to start the intubation time was（5.3±3.2） min,the success rate of intubation was 92.0% in the observation group, ready to start the intubation time was（10.2 ±20.1） min,the control group was better than the observation group, the difference was statistically significant（P〈0.05）. Conclusion Emergency internal medicine should grasp the appropriate timing of intubation and intubation methods to improve the success rate of rescue critically ill patients, while improving the survival rate of patients.