广西医学2017，Vol.39Issue(12)：1834-1836,1840,4.DOI:10.11675/j.issn.0253-4304.2017.12.19
喉罩和视频喉镜在颈椎损伤患者院前急救气道开放中的应用效果及学习曲线比较
Comparison of application effect and learning curve for airway establishment in patients with cervical spine injury during pre-hospital first aid between laryngeal mask and video laryngoscope
杜庆 1张胜楠 2姜婕 1李蕾 1马驰骋1
作者信息
- 1. 山东省济南市第四人民医院急诊科,济南市250012
- 2. 山东省济南市口腔医院,济南市250001
- 折叠
摘要
Abstract
Objective To compare the application effect and learning curve for airway establishment in patients with cervical spine injury during pre-hospital first aid between laryngeal mask and video laryngoscope.Methods Twenty internists were divided into laryngeal mask group and video laryngoscope group,with 10 internists in each group.The laryngeal mask group and the video laryngoscope group received the tracheal intubation training of pre-hospital first aid in manikins with cervical spine injury using laryngeal mask and video laryngoscope respectively.The attempts and procedure time for establishing effective ventilation during each training session,and success rate of effective ventilation were compared between the two groups.The learning curve was drawn using Cumulative Summation method in the two group,and the least times for successful tracheal intubation were counted.Results The success rate of effective ventilation in the laryngeal mask group was higher than that in the video laryngoscope group(83.2％ vs.69.6％;P ＜0.05).The attempts and procedure time for establishing effective ventilation in the laryngeal mask group were less than those in the video laryngoscope group(P ＜ 0.05).The slopes of the learning curves turned to be negative at the 24th and 11 th training session in the video laryngoscope group and the laryngeal mask group respectively,and then the curve kept at a steady state.Conclusion Compared to the video laryngoscope,the laryngeal mask applied to airway establishment in manikins with cervical spine injury during pre-hospital first aid requires less procedure time,can achieve a higher success rate and shorter learning curve,can be easily mastered and shorten the training time.关键词
颈椎损伤/院前急救/视频喉镜/喉罩/学习曲线/模拟人Key words
Cervical spinal injury/Pre-hospital first aid/Video laryngoscope/Laryngeal mask/Learning curve/Manikin分类
医药卫生引用本文复制引用
杜庆,张胜楠,姜婕,李蕾,马驰骋..喉罩和视频喉镜在颈椎损伤患者院前急救气道开放中的应用效果及学习曲线比较[J].广西医学,2017,39(12):1834-1836,1840,4.
