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目的研究气管插管与机械通气时机对心肺复苏成功患者的预后和出院率的影响。方法回顾性分析2005年1月至2007年2月389例临床复苏成功患者的资料,以气管插管时机与出院率的关系为重点。按现场诊断心跳骤停到气管插管完成的时间,分为3 min以内组(A组,n= 209)和以上组(B组,n=143);按到达急诊室至气管插管完成的时间,分为5 min以内组(C组,n=9)和以上组(D组,n=38),计算各组出院率;采用SPSS 11.0系统软件处理。结果心肺复苏成功率为9.75%(389/3988),其中,出院59例占1.48%(59/3988)。A组出院率19.62%(41/209),B组6.99%(10/143),A组显著高于B组(P<0.05)。C组出院率88.89%(8/9),D组0(0/28),C组显著高于D组(P<0.05)。结论及时气管插管和机械通气并做好院前院内气道管理的衔接,可明显提高心肺复苏成功患者的出院率。
Objective To investigate the effects of endotracheal intubation and mechanical ventilation on the prognosis and discharge rate of successful CPR patients. Methods The data of 389 patients with successful clinical resuscitation from January 2005 to February 2007 were retrospectively analyzed, focusing on the relationship between the timing of tracheal intubation and discharge rate. According to the field diagnosis of cardiac arrest to endotracheal intubation time, divided into 3 min group (A group, n = 209) and above group (B group, n = 143); according to the emergency room to the tracheal intubation completed Time was divided into 5 minutes group (C group, n = 9) and above group (D group, n = 38), calculate the discharge rate of each group; using SPSS 11.0 system software processing. Results The success rate of cardiopulmonary resuscitation was 9.75% (389/3988), of which 59 cases (1.48%) discharged 59/3988. The discharge rate in group A was 19.62% (41/209), in group B 6.99% (10/143), in group A was significantly higher than that in group B (P <0.05). The discharge rate in group C was 88.89% (8/9), in group D was 0 (0/28), and in group C was significantly higher than that in group D (P <0.05). Conclusions Timely endotracheal intubation and mechanical ventilation and good hospital airway management convergence, can significantly improve the success of cardiopulmonary resuscitation patients discharge rate.