不同通气方式对急诊心肺复苏患者治疗效果的影响分析

The Therapeutic Effect of Different Modes of Ventilation on Patients and Effect of Cardiopulmonary Resuscitation in Emergency

目的探讨不同通气方式对急诊心肺复苏患者治疗效果和影响,为急诊心肺复苏患者通气方式的选择提供理论依据。方法选取2014年2月—2016年2月胜利油田中心医院接受治疗的90例急诊心肺复苏患者为研究对象,按照通气方式的不同分为A、B、C组,每组患者30例,C组患者给予常规的气管插管,A组患者给予喉罩+气管插管的通气方式,B组患者给予面罩气囊口咽通气管+气管插管,观察3组患者的临床症状变化情况,分析比较3组患者心肺复苏效果情况、血气水平情况。结果 A、B组患者的气道开放时间、心搏恢复时间、呼吸恢复时间、意识改善时间比较,差异无统计学意义(P>0.05);A、B组患者的气道开放时间、心搏恢复时间、呼吸恢复时间、意识改善时间与C组比较,差异有统计学意义(P<0.05);A、B组氧分压(PO_2)、二氧化碳分压(PCO_2)、酸碱度(PH)比较,差异无统计学意义(P>0.05);A、B组患者的PO_2、PCO_2、PH与C组比较,差异有统计学意义(P<0.05)。结论喉罩+气管插管和面罩气囊口咽通气管+气管插管相比于单纯的气管插管疗效更佳,改善了患者的症状,值得应用。

Objective To investigate the therapeutic effect of different modes of ventilation on patients and effect of cardiopulmonary resuscitation in emergency,provide a theoretical basis for the ventilation patients in emergency cardiopulmonary resuscitation. Methods 90 cases of emergency cardiopulmonary methods from February 2014 to February 2016 the Central Hospital of Shengli Oil Field for treatment of recovery patients as the research object,according to the different ventilation mode is A,B,C group,30 cases in each group,C group were treated with routine tracheal intubation,laryngeal mask ventilation ＋tracheal intubation in A group were treated,B group were treated with balloon mask oropharyngeal tube ＋ tracheal intubation,clinical symptoms were observed in the patients of the 3 groups,the analysis,compared 3 groups of patients with cardiopulmonary resuscitation,blood gas levels. Results The results of A,B group of patients with airway opening time,cardiac recovery time,breathing recovery time,improve the consciousness of time,there was no statistically significant difference（ P 〉 0. 05）; A,B group of patients with airway opening time,cardiac recovery time. Breathing recovery time,improve the consciousness of time compared with the C group, the difference was statistically significant（ P 〈 0. 05）; A, B group of oxygen partial pressure（ PO2）,carbon dioxide partial pressure（ PCO2）,p H comparison,no statistically significant difference（ P 〉 0. 05）; A,B group PO2,PCO2,PH compared with the C group,the difference was statistically significant（ P 〈 0. 05）. Conclusion Laryngeal mask intubation and balloon ＋ mask ＋ oropharyngeal airway intubation compared to endotracheal intubation and simple curative effect is better,improve the patient’s symptoms,it is worthy of application.