摘要
目的探讨急诊内科的重症患者,在运用气管插管的过程中,如何科学合理选取时机和方法。方法选取北京朝阳急诊抢救中心2019年4月至12月急诊内科收治的重症患者140例为研究对象,按入院时间分为参照组(70例)与研究组(70例)。参照组患者采取延时气管插管的方法,研究组患者则立即插管,对比两组重症患者的插管所用时间、插管的成功率、从做准备到插管所用时间、存活率,评价不同气管插管时机和方法对急诊内科重症患者的影响。结果通过比对气管插管成功率、抢救成功率、存活率,研究组均优于参照组,组间比较差异有统计学意义(P<0.05)。研究组与参照组从做准备到插管所用时间和气管插管所用时间,组间比较差异有统计学意义(P<0.05)。结论急诊内科的重症患者,通常是疾病恶化较为严重,处于生命垂危状态,气管插管通常是必备的治疗方法,如何把握气管插管的时机和方法至关重要。对重症患者采取立即气管插管的方法,能够大大提高患者的抢救成功率,在临床抢救期间,需要进行插管和运用相关药物治疗,然后通过气管给药,呼吸更加平稳,同时能保证药物的浓度和有效性,有助于提高患者机体功能的恢复速度和继续生存。
Objective To explore how to select the right time and method of endotracheal intubation scientifically and reasonably in the process of using endotracheal intubation in emergency department of internal medicine.Methods A total of 140 cases of critically ill patients in Beijing Chaoyang Emergency Rescue Center from April to December 2019 were selected as the research objects,and they were divided into the reference group and the study group according to the admission time,with 70 cases in each group.The time of intubation,the success rate of intubation,the time from preparation to intubation and survival rate of the two groups were compared.The effects of different intubation timing and methods on the critical patients in emergency department were evaluated.Results Compared with the following three indicators,the success rate of tracheal intubation,rescue success rate and survival rate of the study group were better than those of the reference group,and the situation of the two groups was compared(P<0.05).The time from preparation to intubation and the time of tracheal intubation between the study group and the reference group were compared(P<0.05).Conclusion The severe patients in the emergency department of internal medicine usually have serious disease deterioration and are in critical condition.Endotracheal intubation is usually the necessary treatment method.How to grasp the opportunity and method of tracheal intubation is very important.The method of immediate endotracheal intubation for severe patients can greatly improve the rescue success rate of patients.During the clinical rescue,intubation and the use of related drugs are needed,and then through tracheal administration,the breathing is more stable,at the same time,the concentration and effectiveness of drugs can be ensured,which helps to improve the recovery speed of body function and survival of patients.
作者
张英杰
ZHANG Yingjie(Beijing Chaoyang Emergency Rescue Center,Beijing 100122,China)
出处
《大医生》
2020年第15期119-121,共3页
Doctor
关键词
心脏
急诊内科
重症患者
气管插管
emergency internal medicine
severe patients
endotracheal intubation