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目的探析急诊重症监护中心肺复苏时及时气管插管的重要性,以供临床工作参考。方法将本院2010年7月至2014年1月急诊重症监护中实施心肺复苏的100例患者作为研究对象,随机分为两组,两组均行常规复苏措施,对照组等待麻醉科医生到急诊重症监护中心进行气管插管治疗,而研究组患者当即由急诊重症监护中心医护人员给予气管插管。对比两组的心肺复苏成功率。结果研究组心肺复苏成功率高达52.0%,明显高于对照组的18.0%,组间差异有统计学意义(P<0.05)。研究组气管插管时间明显短于对照组,组间差异有统计学意义(P<0.05)。结论影响急诊重症监护心肺复苏成功率的因素较复杂,其中,及时气管插管尤为重要,有利于提高心肺复苏成功率,缩短气管插管时间。
Objective To investigate the importance of prompt endotracheal intubation during emergency resuscitation in emergency intensive care center for clinical reference. Methods 100 patients who performed cardiopulmonary resuscitation during emergency intensive care from July 2010 to January 2014 in our hospital were randomly divided into two groups. All patients underwent routine resuscitation, and the control group awaited the anesthesiologist to the emergency department ICU was treated with endotracheal intubation while patients in the study group were given endotracheal intubation immediately by medical staff of emergency ICU. The success rate of CPR was compared between the two groups. Results The successful rate of cardiopulmonary resuscitation in the study group was 52.0%, which was significantly higher than that in the control group (18.0%). The difference between the two groups was statistically significant (P <0.05). The tracheal intubation time was significantly shorter in the study group than in the control group, with significant difference between the two groups (P <0.05). Conclusions The factors influencing the success rate of cardiopulmonary resuscitation in emergency intensive care are complex. Among them, timely tracheal intubation is particularly important, which is beneficial to improve the success rate of CPR and shorten the time of tracheal intubation.