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目的:研究急诊心肺复苏患者实施不同通气方式治疗的临床效果。方法:选择2013年5月至2016年5月中山市中医院诊治的110例急诊心肺复苏患者,分为3组,常规组40例实施常规气管插管,喉罩组35例实施喉罩-气管插管,面罩气囊口咽通气管组35例实施面罩气囊口咽通气管-气管插管,比较3组患者心肺复苏成功几率、气道开放时间及存活率。结果:常规组中19例心肺复苏成功,10例存活;喉罩组中,22例心肺复苏成功,14例存活;面罩气囊口咽通气管组中,28例心肺复苏成功,20例存活,3组患者心肺复苏效果比较,差异具有统计学意义(P<0.05)。喉罩组和面罩气囊口咽通气管组气道开放时间、心跳恢复时间、自主呼吸时间及意识改善时间比常规组短,差异具有统计学意义(P<0.05),喉罩组和面罩气囊口咽通气管组比较,差异无统计学意义(P>0.05)。3组患者复苏后1 h和3 h的氧分压(PO2)、p H、二氧化碳分压(PCO2)水平比较,差异具有统计学意义(P<0.05)。结论:心肺复苏通气中应用面罩气囊口咽通气管-气管插管及喉罩-气管插管疗效显著,有助开放气道,减轻痛苦。
Objective: To study the clinical effect of different ventilation methods in emergency cardiopulmonary resuscitation patients. Methods: A total of 110 emergency CPR patients diagnosed and treated in Zhongshan Hospital of Traditional Chinese Medicine from May 2013 to May 2016 were selected and divided into three groups. Conventional tracheal intubation was performed in 40 cases and laryngeal mask-trachea in 35 cases Intubation, mask balloon Oropharyngeal tube group 35 cases of mask airbag oropharyngeal tube intubation - tracheal intubation to compare the success rate of cardiopulmonary resuscitation in three groups of patients, airway opening time and survival rate. Results: In the routine group, 19 cases of cardiopulmonary resuscitation were successful and 10 cases survived. Among the laryngeal mask group, 22 cases were successful in cardiopulmonary resuscitation and 14 cases survived. In the mask balloon oropharyngeal ventilation group, 28 cases were successful in cardiopulmonary resuscitation and 20 cases survived. 3 Cardiopulmonary resuscitation group compared efficacy, the difference was statistically significant (P <0.05). Laryngeal mask group and mask airbag oropharyngeal ventilation group airway opening time, heartbeat recovery time, spontaneous breathing time and awareness improvement time shorter than the conventional group, the difference was statistically significant (P <0.05), laryngeal mask group and mask airbag port Pharyngeal ventilation group, the difference was not statistically significant (P> 0.05). The oxygen partial pressure (PO2), p H and partial pressure of carbon dioxide (PCO2) in the three groups recovered at 1 h and 3 h after resuscitation, the difference was statistically significant (P <0.05). Conclusion: The therapeutic effect of mask balloon oropharyngeal ventilation tube - endotracheal intubation and laryngeal mask - endotracheal intubation in cardiopulmonary resuscitation ventilation is significant, which can help to open the airway and relieve the pain.