中国医学装备2016，Vol.13Issue(6)：72-74,75,4.DOI:10.3969/J.ISSN.1672-8270.2016.06.023
呼吸机管理在急诊重症监护病房急性脑血管意外昏迷患者中的策略研究
Investigation and strategies of acute cerebral vascular accident coma patients in EICU with ventilator management
朱卫华 1王成中 1胡金娥 1李敏1
作者信息
- 1. 恩施土家族苗族自治州中心医院ICU科 湖北 恩施 445000
- 折叠
摘要
Abstract
Objective:To compare the technical strategies of endotracheal intubation and larynx mask for cardiopulmonary resuscitation with ventilator management on patients with acute cerebral infarction coma in EICU. Methods: 60 cases of EICU in acute cerebral infarction coma patients with cardiopulmonary resuscitation were randomly divided into observation group and control group with 30 cases in each group. Patients in the control group were examined by endotracheal intubation during cardiopulmonary resuscitation and patients in the observation group by the laryngeal mask. The clinical effects of two groups of patients were compared.Results: The time required for intubation of observation group after treatment was (11.2±8.0)s and the control group was (67.8±13.7)s. There were differences between the two groups (t=4.32,P<0.05). There were 20 cases of successful resuscitation and 29 cases of one-time intubation success in the observation group. And there were 11 cases of successful resuscitation and 20 cases of one-time intubation success in the control group. The observation group was obviously better than the control group, and the difference was statistically significant (x2=1.87,x2=0.56;P<0.05). The time that patients with symptoms of hypoxia alleviate or remove was (4.3+0.8)min in the observation group and (7.2+0.7)min in the control group. The differences were statistically significant (t=7.528,P<0.05). With the first aid nursing after 24h, two groups of patients with plasma brain natriuretic peptide concentration and pulmonary artery pressure decreased significantly. Compared with the control group, plasma brain natriuretic peptide concentration and pulmonary arterial pressure in the observation group decreased significantly.Conclusion: The laryngeal mask in rescuing with emergency cardiopulmonary resuscitation, can effectively shorten the intubation time, increase intubation success rate, so as to improve the survival rate of the patients. It is worthy of clinical promotion and application.关键词
心肺复苏/喉罩/气管插管/急性脑血管意外昏迷/临床效果Key words
Cardiopulmonary resuscitation/Laryngeal mask/Endotracheal intubation/Acute cerebral infarction coma/Clinical effect分类
医药卫生引用本文复制引用
朱卫华,王成中,胡金娥,李敏..呼吸机管理在急诊重症监护病房急性脑血管意外昏迷患者中的策略研究[J].中国医学装备,2016,13(6):72-74,75,4.
