不同气管插管时间对心肺脑复苏效果的影响分析

Influence analysis of different endotracheal intubation time on cardiopulmonary cerebral resuscitation

目的探讨分析不同气管插管时间对心肺脑复苏效果的影响,以期为临床治疗总结经验。方法回顾性分析87000例行气管插管治疗的心跳、呼吸停止患者的临床资料,根据气管插管治疗的时机将其分为即刻组(58265例)和延时组(28735例)。对比两组患者的心肺脑复苏效果,并将延时组依据插管操作者科室分为麻醉科组(16392例)与急诊科组(12343例),对比两个亚组的心肺脑复苏效果。结果即刻组插管时间明显短于延时组(P<0.05),且前者复苏成功率及存活率均显著高于后者(P<0.05);麻醉科组插管时间明显短于急诊科组(P<0.05),且前者复苏成功率及存活率均显著高于后者(P<0.05)。结论对心跳、呼吸停止患者即刻行气管插管治疗,不仅可以缩短插管时间,还可显著改善心肺脑复苏成功率及存活率,且由麻醉科医师操作效果更佳。

Objective To discuss and analyze the influence of different endotracheal intubation time on cardiopulmonary cerebral resuscitation, so as to sum up experience for clinical treatment. Methods The clinical data of 87 000 respiratory and cardiac arrest patients treated with endotracheal intubation were retrospectively analyzed, which were divided into immediate group （58 265 cases） and delay group （28 735 cases） according to the different endotraeheal intubation time. The effects of cardiopulmonary resuscitation were compared between the two groups. And the patients in the delay group were further divided into anesthesia department group （16 392 cases） and emergency department group （12 343 cases）. The effects of eardiopulmonary resuscitation were also compared between the two groups. Results The intubation time of the immediate group was obviously shorter than that of the delay group （P〈0.05）, and the resuscitation success rate and survival rate of the former were significantly higher than those of the latter （P〈0.05）. The intubation time of the anesthesia department group was obviously less than that of the emergency department group （P〈0.05）, and the resuscitation success rate and survival rate of the former were significantly higher than those of the latter （P〈0.05）. Conclusion Giving endotracheal intubation treatment to patients with respiratory and cardiac arrest can not only shorten the intubation time, but also improve the cardiopulmonary resuscitation success rate and survival rate, and the effect is better corducted by the operation of anesthesiologists.