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目的观察喉罩通气在急救心肺复苏中重建人工气道的临床价值。方法将66名心搏、呼吸骤停患者按照随机原则选取复苏程序,从而分作对照组和治疗组。对照组采用传统的面罩加压给氧,待麻醉师到场后改用气管内插管;而治疗组选用喉罩建立人工气道。结果治疗组的喉罩一次置入成功率高于对照组的气管内插管,并且置入所花费的时间明显较对照组短(P<0.05),治疗组的 SpO_2上升时间明显短于对照组(P<0.05),治疗组的初期复苏效果评价,自主循环恢复率与对照组相似(P>0.05)。两组患者发生胃内容误吸的比例相近(P>0.05)。结论喉罩通气在重建人工气道,具有置人快捷方便、连接准确可靠的优势,值得在急诊急救中推广使用。
Objective To observe the clinical value of laryngeal mask ventilation in reconstructing artificial airway during emergency resuscitation. Methods A total of 66 patients with cardiac arrest and respiratory arrest were selected according to the randomized principle and divided into control group and treatment group. In the control group, the traditional masks were used to pressurize the oxygen, and the anesthesiologists switched to endotracheal intubation when they arrived; while the treatment group used laryngeal mask to establish the artificial airway. Results The success rate of one laryngeal mask implantation in the treatment group was higher than that in the control group, and the insertion time of the laryngeal mask in the treatment group was significantly shorter than that in the control group (P <0.05). The SpO2 rise time in the treatment group was significantly shorter than that in the control group (P <0.05). The initial resuscitation evaluation and recovery rate of spontaneous circulation in the treatment group were similar to those in the control group (P> 0.05). The incidence of gastric aspiration in both groups was similar (P> 0.05). Conclusions Laryngeal mask ventilation in the reconstruction of artificial airway, with quick and easy placement, accurate and reliable connection advantages, it is worth to promote the use of emergency first aid.