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目的:探讨设计院前急救开放气道流程的可行性。方法:选择本院急诊科院前急救心跳呼吸骤停病例48例,按接诊先后次序交替分为常规组及流程组各24例,常规组按常规气管内插管开放气道,流程组按自行设计的开放气道流程开放气道;比较二组一次插管气道有效开放成功率、气道有效开放时间。结果:流程组一次插管气道有效开放成功率比常规组高,气道有效开放时间比常规组缩短,二组比较差异有统计学意义(P<0.05)。结论:院前急救开放气道流程设计合理,安全简便,取长补短,一次插管气道有效开放成功率高,气道有效开放时间短,值得推广使用。
Objective: To explore the feasibility of designing pre-hospital emergency open airway procedure. Methods: Forty-eight cases of emergency heartbeat and respiratory arrest in our hospital were selected and divided into routine group and 24 cases in each group according to the sequence of admissions. The routine group was treated with conventional endotracheal tube to open the airway. The open airway was designed by open airway. The success rate of effective airway opening and the effective airway opening time of the two groups were compared. Results: The success rate of effective intubation of the airway in the process group was higher than that in the conventional group, and the effective time of airway opening was shorter than that in the conventional group. There was significant difference between the two groups (P <0.05). Conclusions: The design of pre-hospital emergency open airway process is reasonable, safe, simple, good in one way, effective in opening an intubated airway, and short in effective airway opening time. It is worth promoting.