健康大视野·医学分册2023,Issue(1) :4-6.

心脏骤停心肺复苏院前急救中气管插管与球囊辅助呼吸的应用效果对比

胡颖 鲁莹莹 蔡娟 苏运辉
健康大视野·医学分册2023,Issue(1) :4-6.

心脏骤停心肺复苏院前急救中气管插管与球囊辅助呼吸的应用效果对比

胡颖 1鲁莹莹 1蔡娟 1苏运辉1
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作者信息

  • 1. 广东药科大学附属第一医院急诊科,广东 广州 510000
  • 折叠

摘要

目的:探讨心脏骤停心肺复苏院前急救中气管插管与球囊辅助呼吸的应用效果对比.方法:选择2020年4月-2021年4月本院收治的78例心脏骤停患者为本次研究对象,随机数字表法分组,观察组及对照组,均n=39.对照组在实行心肺复苏院前急救中应用气管插管,观察组在实行心肺复苏院前急救中给予球囊辅助.比较两组患者临床指标、心肺复苏成功率和满意度、心功能.结果:观察组复苏后10min血氧饱和度高于对照组(P < 0.05),建立通气所用时间低于对照组(P < 0.05).观察组心肺复苏成功率和满意度分别为97.44%

Abstract

Objective To compare the effects of endotracheal intubation and balloon assisted respiration in pre hospital emergency treatment of cardiac arrest and cardiopulmonary resuscitation.Methods: 78 patients with cardiac arrest admitted to our hospital from April 2020 to April 2021 were selected as the subjects of this study.They were randomly divided into two groups: the observation group and the control group, with n=39.In the control group, endotracheal intubation was used in the pre hospital first aid of cardiopulmonary resuscitation, while in the observation group, balloon was used in the pre hospital first aid of cardiopulmonary resuscitation.The clinical indexes, success rate and satisfaction of cardiopulmonary resuscitation, and cardiac function were compared between the two groups.Results: The blood oxygen saturation 10 minutes after resuscitation in the observation group was higher than that in the control group (P<0.05), and the time to establish ventilation was lower than that in the control group (P<0.05).The success rate and satisfaction of cardiopulmonary resuscitation in the observation group were 97.44% and 94.87%, respectively, and 84.62% and 79.49% in the control group.Compared with the control group, the success rate and satisfaction of cardiopulmonary resuscitation in the observation group were higher (P<0.05).LVEF and 6MWT in the observation group were higher than those in the control group 3 days after resuscitation (P<0.05), and BNP was lower than that in the control group (P<0.05).Conclusion: The application of balloon assisted cardiopulmonary resuscitation in pre hospital emergency treatment of patients with cardiac arrest is better than that of patients with endotracheal intubation in clinical indicators, success rate of resuscitation, satisfaction, etc., which is worth popularizing.

关键词

心脏骤停/心肺复苏/气管插管/球囊辅助/成功率/满意度/患者

Key words

Cardiac arrest/Cardiopulmonary resuscitation/Tracheal intubation/Balloon assisted/Success rate/Satisfaction/patient

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出版年

2023
健康大视野·医学分册
中国保健协会

健康大视野·医学分册

ISSN:1005-0019
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