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目的探讨心肺复苏(CPR)时盲插喉罩通气对复苏成功率的影响。方法将我科2003-06~2007-05所接诊的心跳骤停患者51例作为观察组,应用盲插喉罩通气;另选同期所接诊的心跳骤停患者46例作为对照组,应用气管内插管通气。结果插管所需时间:观察组(28.1±12.6)s;对照组(130±56)s,两组比较差异有统计学意义(P<0.001)。一次插管成功率:观察组盲探下插入喉罩一次成功47例(成功率92%);对照组气管内插管一次成功19例(成功率41.3%),两组比较差异有统计学意义(P<0.01)。复苏成功率:观察组复苏成功25例(成功率49%);对照组复苏成功12例(成功率26%),两组比较差异有统计学意义(P<0.01)。结论在CPR时,盲插喉罩通气具有操作简便、迅速、复苏成功率高的优点,可以代替气管内插管。
Objective To investigate the influence of blind mack ventilation on success rate of resuscitation during cardiopulmonary resuscitation (CPR). Methods Fifty-one patients with sudden cardiac arrest admitted from 2003-06 to 2007-05 in our department were selected as the observation group, and blind mastectomy was used to ventilate them. Forty-six patients with sudden cardiac arrest were enrolled as the control group. Endotracheal tube ventilation. Results intubation time: the observation group (28.1 ± 12.6) s; control group (130 ± 56) s, the difference between the two groups was statistically significant (P <0.001). The success rate of primary intubation: the observation group was blindly inserted into the laryngeal mask 47 cases (success rate was 92%); the control group of tracheal intubation in 19 cases (success rate 41.3%), the difference between the two groups was statistically significant (P <0.01). Resuscitation success rate: the observation group 25 cases of successful recovery (success rate 49%); control group 12 cases of successful resuscitation (success rate 26%), the difference between the two groups was statistically significant (P <0.01). Conclusion In CPR, blind mastectomy ventilation has the advantages of simple and rapid operation, high success rate of resuscitation, and can replace the endotracheal tube.