摘要
目的 探讨不同气道管理对心肺复苏患者心肺复苏质量指数(CQI)的影响.方法 选取120例心肺复苏患者为研究对象,根据气道管理的不同分为观察组(n=60)和对照组(n=60).两组均常规进行心肺复苏急救,对照组进行常规气管插管的气道管理,研究组进行喉罩辅助呼吸的气道管理.统计比较两组心肺复苏成功率及治疗相关时间.检测并比较两组治疗前后的酸碱度(pH)、二氧化碳分压(PaCO2)以及氧分压(PaO2)等血气指标水平.评价两组患者的CQI.结果 观察组心肺复苏成功率高于对照组,差异有统计学意义(x2=4.88,P＜0.05).观察组呼吸恢复时间、心搏恢复时间、气道开放时间及意识改善时间均低于对照组,差异均有统计学意义(t分别=4.27、5.24、6.37、9.83,P均＜0.05),初始期和终末期CQI均高于对照组(t分别=-6.65、-16.76,P均＜0.05).观察组复苏后1 h和3 h pH、PaO2高于对照组,PaCO2低于对照组,差异均有统计学意义(t分别=11.96、11.65、5.95、8.76、-3.47、-4.18,P均＜0.05).结论 喉罩辅助呼吸的气道管理更有助于改善心肺复苏患者心肺复苏效果和CQI情况.
Abstract
Objective To explore the effects of different airway management on the cardiopulmonary resuscitation quality index(CQI)in patients undergoing cardiopulmonary resuscitation.Methods A total of 120 patients who under-went cardiopulmonary resuscitation were selected as the study objects,and divided into observation group(n=60)and control group(n=60)according to airway management.Both groups received routine cardiopulmonary resuscitation,the control group received routine tracheal intubation airway management,and the study group received laryngeal mask assist-ed breathing airway management.The successful rate of cardiopulmonary resuscitation and the relevant time of treatment were statistically compared between the two groups.The pH,partial pressure of carbon dioxide(PaCO2)and partial pres-sure of oxygen(PaO2)were measured and compared between the two groups before and after treatment.The CQI of the two groups was evaluated.Results The successful rate of cardiopulmonary resuscitation in the observation group was higher than that in the control group(x2=4.88,P＜0.05).The observation group had shorter respiratory recovery time,heartbeat recovery time,airway opening time,and consciousness improvement time when compared to the control group,with statistically significant differences(t=4.27,5.24,6.37,9.83,P＜0.05).The initial and final CQI of the observation group were higher than those of the control group(t=-6.65,-16.76,P＜0.05).The pH and PaO2 of the observation group were higher than those of the control group at 1 hour and 3 hours after resuscitation,while PaCO2 was lower than that of the control group,with statistically significant differences(t=1 1.96,11.65,5.95,8.76,-3.47,-4.18,P＜0.05).Conclu-sion Laryngeal mask assisted breathing airway management is more helpful to improve cardiopulmonary resuscitation and CQI in patients with cardiopulmonary resuscita-tion.
维普
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