浅谈不同通气方式对急诊心肺复苏患者治疗的影响

Effects of different ventilation modes on the treatment of emergency cardiopulmonary resuscitation

目的观察不同通气方式在急诊心肺复苏患者治疗中的应用效果。方法选取心肺复苏患者90例,采用随机数字法分为对照1组、对照2组和观察组,各30例。对照1组采用常规气管插管治疗,对照2组采用喉罩联合气管插管治疗,观察组采用面罩气囊口咽通气管联合气管插管治疗,比较3组临床疗效及症状改善时间情况。结果观察组治疗后气道开放、呼吸恢复、心跳恢复及意识改善时间,短于对照1组(P<0.05);观察组治疗后pH及PCO_2水平,低于对照1组和对照2组(P<0.05);观察组治疗后PO_2水平,高于对照1组和对照2组(P<0.05);对照2组治疗后pH及PCO_2水平,低于对照1组(P<0.05);对照2组治疗后PO_2水平,高于对照1组(P<0.05);观察组抢救成功率为96.67%,高于对照1组86.67%和对照2组70.00%(P<0.05);观察组植物生存率位3.33%及死亡率0.00%,低于对照1组(10.00%和3.33%)和对照2组(13.33%和16.67%)(P<0.05)。结论急诊心肺复苏患者采用面罩气囊口咽通气管联合气管插管治疗效果理想,能缩短症状改善时间,值得推广应用。

Objective To observe the effect of different ventilation modes in emergency cardiopulmonary resuscitation(CPR).Methods90cases of cardiopulmonary resuscitation were selected.The patients were divided into control1groups,control2groups and the observation group by random number method.Each group had30cases.1the control group using conventional tracheal intubation treatment,control group2with laryngeal mask combined with tracheal intubation treatment,observation group were treated with balloon mask oropharyngeal airway combined with trachedoi al intubation treatment,compared3groups of clinical curative effect and symptom improvement time.Results The observation group after the treatment of open airway and breathing,heartbeat recovery and improvement of consciousness time shorter than the control group1(P<0.05);to observepH and PCO2levels lower than the control group after treatment,1groups and2control group(P<0.05);the observation group after treatment,the level of PO2,higher than that of control group12and the control group(P<0.05);the control of pH and PCO2levels after treatment in the2groups,1lower than the control group(P<0.05);the control group2after treatment PO2levels higher than the control group1(P<0.05);the observation group the success rate was96.67%,1higher than the control group86.67%and control2group70.00%(P<0.05);the observation group plant survival rate3.33%and the mortality rate was0.00%,1lower than the control group(10.00%and3.33%)and the control group2(13.33%and16.67%)(P<0.05).Conclusion It is effective to treat patients with emergency CPR by using mask gasbag,oropharynx trachea and trachea cannula.It can shorten the time of symptom improvement and is worthy of popularization and application.