气管插管不同时机对急诊心肺复苏患者成功率的影响

The Effect of Different Timing of Tracheal Intubation on the Success Rate of Patients With Emergency Cardiopulmonary Resuscitation

目的探讨气管插管不同时机对急诊心肺复苏患者成功率的影响。方法选取我院收治的88例急诊心肺复苏患者作为研究对象,将其随机分为两组。观察组44例患者给予早期气管插管,对照组44例患者给予及时气管插管,对比两组患者急诊心肺复苏患者复苏前后血气指标以及心肺复苏成功后情况。结果观察组患者意识改善时间、心跳恢复时间、呼吸恢复时间短于对照组,气道开放时间快于对照组,差异具有统计学意义(P<0.05)。观察组患者复苏成功率、恢复窦性心律率、成功插管率、出院存活率高于对照组,差异具有统计学意义(P<0.05)。结论早期气管插管可以增加急诊心肺复苏患者心肺复苏的成功率以及存活率,有效不避免不可逆损伤。

Objective To investigate the effect of different timing of tracheal intubation on the success rate of patients with emergency cardiopulmonary resuscitation. Methods 88 cases of emergency cardiopulmonary resuscitation in our hospital were selected and randomly divided into two groups. Early tracheal intubation was given to 44 patients in the observation group. 44 patients in the control group were given timely tracheal intubation. The blood gas indexes before and after cardiopulmonaryresuscitation in two groups were compared, and the success rate after cardiopulmonary resuscitation was compared. Results The time of consciousness improvement, heart recovery time and respiration recovery time were shorter in the observation group than in the control group, and the opening time of the airway was faster than that of the control group.The difference was statistically significant（P〈0.05）. The successful rate of resuscitation, the rate of sinus rhythm recovery, the rate of successful intubation, and the survival rate of discharge were higher in the observation group than in the control group, and the difference was statistically significant（P〈0.05）. Conclusion Early tracheal intubation can increase the success rate and survival rate of cardiopulmonary resuscitation in emergency cardiopulmonary resuscitation patients, and avoid irreversible injury effectively.