气管插管时间对心肺脑复苏效果的影响

The influence of tracheal intubation time in cardiopulmonary cerebral resuscitation

目的:探讨气管插管时间对心肺脑复苏效果的影响。方法:将211例心肺脑复苏患者分为即时插管组和延时插管组,比较其插管时间、心肺脑复苏成功率、存活率;延时插管组分为急诊科医师组和麻醉科医师组,比较其插管时间、心肺脑复苏成功率、存活率。结果:即时插管有156例,插管时间为75.5±24.1s,心肺复苏成功85例,成功率为54.5%,存活51例,存活率为32.7%;延时插管组55例,插管时间为427.6±53.8s,心肺脑复苏成功18例,成功率为32.7%,存活4例,存活率为7.27%。即时插管组与延时插管组在插管时间、复苏成功率、存活率存在差异,差异具有统计学意义(P<0.05);在延时插管组中,急诊科医师组气管插管20例,插管时间为583.5±76.3s,心肺脑复苏成功3例,复苏成功率为15%,存活1例,存活率为5%;麻醉科医师组气管插管35例,插管时间为337.9±45.8s,心肺脑复苏成功15例,复苏成功率为42.9%,存活3例,存活率为8.6%。急诊科医师组与麻醉科医师组在插管时间、成功率、存活率存在差异。其插管时间、成功率差异具有统计学意义(P<0.05)。存活率差异无统计学意义(P>0.05)。结论:插管时间越短,心肺脑复苏成功率越高,存活率越高,麻醉科医师组插管时间短于急诊科医师组。

Objective To explore the influence of tracheal intubation time in cardiopulmonary cerebral resuscitation(CPCR).Methods 211 cases of cardiopulmonary cerebral resuscitation(CPCR) patients were divided into the immediate intubation group and the delayed intubation group,compared with the tracheal intubation time,the cardiopulmonary cerebral resuscitation success rate and the survival rate.The delayed intubation group were divided into the emergency physicians group and the anaesthetists group,compared with the tracheal intubation time,the cardiopulmonary cerebral resuscitation success rate and the survival rate.Results There are 156 cases of the immediate intubation,the tracheal intubation time is 75.5±24.1s,there are 85 cases cardiopulmonary cerebral resuscitation success,and the success rate is 54.5%,there are 51 cases survival,and the survival rate is 32.7%,There are 55 cases of the delayed intubation,the tracheal intubation time is 427.6±53.8s,there are 18 cases cardiopulmonary cerebral resuscitation success,and the success rate is 32.7%,there are 4 cases survival,and the survival rate is 7.27%,There are differences between the immediate intubation group and the delayed intubation group in the tracheal intubation time,the cardiopulmonary cerebral resuscitation success rate and the survival rate,difference has statistics significance(P<0.05),In the delayed intubation group,There are 20 cases of the emergency physicians group tracheal intubation,the tracheal intubation time is 583.5±76.3s,there are 3 cases cardiopulmonary cerebral resuscitation success,and the success rate is 15%,there are 1 case survival,and the survival rate is 5%,There are 35 cases of the anaesthetists group tracheal intubation,the tracheal intubation time is 337.9±45.8s,there are 15 cases cardiopulmonary cerebral resuscitation success,and the success rate is 42.9%,there are 3 cases survival,and the survival rate is 8.6%.There are differences between the emergency physicians group and the anaesthetists group in the tracheal intubation time,the cardiopulmonary cerebral resuscitation success rate and the survival rate,difference has statistics significance in the tracheal intubation time,the cardiopulmonary cerebral resuscitation success rate(P<0.05).difference has not statistics significance in the survival rate(P>0.05).Conclusion The shorter Intubation time is,the higher the cardiopulmonary cerebral resuscitation success rate is,the higher the survival rate is,The anaesthetists group tracheal intubation time is shorter than the emergency physicians group.