探究气管插管时机对心肺复苏成功率的影响

Exploring the Influence of Timing of Tracheal Intubation on the Success Rate of Cardiopulmonary Resuscitation

目的探讨气管插管时机对心肺复苏预后的影响。方法回顾性分析2021年1月至2023年6月如皋博爱医院救治的120例心肺复苏患者的临床资料,依据气管插管时机的差异,分为对照组与观察组,各60例,其中观察组患者为根据可行性早期给予了气管插管的患者,对照组患者为因限于当时的医疗环境未能开展气管插管和与患者家属沟通未同意气管插管或插管失败的患者。比较两组抢救效果及复苏成功率情况。结果观察组心肺复苏成功率高于对照组(P<0.05);观察组自主呼吸恢复、意识恢复与心跳恢复时间均短于对照组(P<0.05);心肺复苏后,两组动脉血氧分压(PaO_(2))与血氧饱和度(SaO_(2))水平均高于心肺复苏前,动脉二氧化碳分压(PaCO_(2))低于心肺复苏前,且观察组PaO_(2)与SaO_(2)高于对照组,观察组PaCO_(2)低于对照组(P<0.05)。结论尽早为心脏呼吸骤停患者开展气管插管,可使患者心肺复苏成功率提高,加快患者自主呼吸恢复、意识恢复与心跳恢复速度,改善患者预后。

Objective To explore the impact of timing of tracheal intubation on the prognosis of cardiopulmonary resuscitation.Methods A retrospective analysis was conducted on the clinical data of 120 patients with cardiopulmonary resuscitation treated at Rugao Boai Hospital.According to the difference in the timing of tracheal intubation,they were divided into a control group and an observation gro up,with 60 cases in each group.The patients in the observation group were those who were intubated early according to the feasibility,and the patients in the control group were those who were unable to perform endotracheal intubation due to the medical environment at that time and did not consent to tracheal intubation or intubation failure due to communication with the patient’s family.Compare the rescue effect and recovery success rate between two groups.Results The success rate of cardiopulmonary resuscitation in observation group was higher than that in control group(P<0.05).The time of spontaneous breathing recovery,consciousness recovery and heartbeat recovery in the observation group was shorter than that in the control group(P<0.05).After cardiopulmonary resuscitation,the levels of arterial partial oxygen pressure(PaO_(2))and oxygen saturation(SaO_(2))in both groups were higher than before cardiopulmonary resuscitation,and arterial partial carbon dioxide pressure(PaCO_(2))was lower than before cardiopulmonary resuscitation,and PaO_(2) and SaO_(2) in observation group were higher than control group,and PaCO_(2) was lower than control group(P<0.05).Conclusions Early implementation of tracheal intubation for patients with cardiac arrest can increase the success rate of cardiopulmonary resuscitation,accelerate the recovery of spontaneous respiration,consciousness,and heart rate,and improve patient prognosis.