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不同气管插管方法在急救中的应用

Application of Emergency by Different Endotracheal Intubation Methods

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【作者】 杜卫东高利洁高晓枫付勤

【Author】 Du Wei-dong~1, Gao Li-jie~1, Gao Xiao-feng~2, et.al.(~1Department of Anesthesiology, Huizhou City Maternal and Child Health Hospital, Huizhou 516001,China; ~2Department of Anesthesiology,Huizhou Central People’s Hospital, Huizhou 516001,China)

【机构】 广东惠州市妇幼保健院广东惠州市中心人民医院

【摘要】 目的:探讨三种气管插管方法在急救中应用。方法:90例急救患者随机分为单纯气管插管组(A组,n=30)、气管插管型喉罩(ILMA)组(B组,n=30)和喉罩组(C组,n=30),比较心率(heart rate,HR)、平均动脉压(mean arterial pressure,MAP)和脉搏血氧饱和(saturation pulse oxygen,SPO2)和术后并发症。结果:A组HR为(93.4±8.1)次/min,显著高于B组(74.5±3.5)次/min,(q=13.507,P<0.05)和C组(78.5±5.5)次/min(q=14.407,P<0.05);A组MAP为(97.1±8.7)mmHg,显著高于B组(87.6±7.3)mmHg(q=3.979,P<0.05)和C组(90.6±8.8)mmHg(q=3.390,P<0.05);A组SpO2(94±3.5)%,显著低于C组(99±1)%(q=4.140,P<0.05);A组平均插管时间(175±17)s大于B组(150±15)s和C组(102±12)s(q=4.250,q=4.310,P<0.05)。结论:气管插管型喉罩对急救患者是一种简便、安全、有效的气管插管方法。

【Abstract】 Objective: To investigate the application of emergency by different endotracheal intubation. Methods: 90 cases with emergency were randomly divided into simple endotrachenl intubation group(A group=30), endotracheal intubation laryngeal mask(ILMA) gronp(B group, n=30)and laryngeal mask airway group(C group n=30),Comparison the heart rate(HR),mean arterial pressure(MAP),oxygen saturation by pulse oximetry(SPO2),time for tracheostomy, and postoperative complications. Results: The HR (93.4±8.1)times/min in A group were significantly higher than B group(74.5±3.5) times/min (q=13.507,P<0.05) and C group (78.5±5.5) times/min(q=14.407,P<0.05); The MAP(97.1±8.7)mmHg in A group were significantly higher than B group(87.6±73)mmHg(q=3.979, P<0.05)and C group(90.6+8.8) mmHg (q=3.390, P<0.05);The SpO2(94.5±3.5)% in A group were significantly lower than the C group(99±1)%(q=4.140.P<0.05);The average intubation time(175±17)S in A group were significantly higher than the B group(150±15)s and the C group(102±12)s(q=4.250,q=4.310,P<0.05). Conclusion: The method of ILMA was is a simple, safe and effective in patients with emergency.

【关键词】 急救气管插管应用
【Key words】 EmergencyEndotracheal intubationApplication
  • 【文献出处】 中国医药导刊 ,Chinese Journal of Medicinal Guide , 编辑部邮箱 ,2009年08期
  • 【分类号】R459.7
  • 【被引频次】1
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