摘要
目的探讨SLIPA喉罩在急诊心肺复苏困难插管中的临床应用价值。方法肺复苏困难插管患者108例,按随机数字表法分为L组、S组和Q组各36例。S组采用SLIPA喉罩置入,L组采用标准型喉罩(standardlaryngeal maskairway,LMA)置入,Q组采用气管内插管。比较3组一次置入成功率、置入时间、胃内容物误吸率和心肺复苏成功率。结果①一次置入成功,S组、L组一次置入成功率均明显高于Q组(P<0.01,P<0.05);S组和L组比较差异无统计学意义(P>0.05)。②置入时间,S组、L组置入时间均明显短于Q组(P<0.01,P<0.05),S组明显短于L组(P<0.05)。③心肺复苏成功率,S组、L组心肺复苏成功率均明显高于Q组,S组和L组比较差异无统计学意义(P>0.05)。④胃内容物误吸率,S组胃内容物误吸率明显少于L组和Q组(P<0.05),L组和Q组比较差异无统计学意义(P>0.05)。结论与气管插管和LMA比较,SLIPA喉罩操作更加简便,能够明显降低胃内容物反流误吸的危险,且价格低廉,值得在临床推广应用,
Objective To investigate the value of SLIPA laryngeal mask ibr difficult intubation in the emergency cardiopuhnonary resuscitation in clinical applications. Methods A total of 108 cardiopulmonary resuscitation patients with difficult intubation were randomly divided into L group, S group and Q group with 36 cases in each group. SLIPA laryngeal mask airway insertion was used in S group, standard laryngeal mask airway （LMA） insertion in L group, and endotracheal intubation in Q group. The intubation success rate, insertion time, gastric content aspiration rate and success rate of cardiopulmonary resuscitation were compared among the 3 groups. Results ①The placement success rate of S group and L group were significantly higher than that of Q group （P 〈 0.01, P 〈 0.05 ） ;There was no significant difference between S group and L group. ②The insertion time of S group and L group were significantly shorter than that of Q group （ P 〈 0.01, P 〈 0.05 ）, and S group was significantly shorter than L group （P 〈 0.05 ）. ③tbe success rate of cardiopulmonary resuscitation ： in S group and L group were significantly higher than that of Q group,S group and L group showed no significant difference （ P 〉 0.05 ）. ④The rate of aspiration of gastric content in S group was significantly less than the L group and the Q group （P 〈 o. 05 ）, L group and the Q group showed no significant difference （P 〉 0.05 ）. Conclusion Compared to tracheal intubation and LMA, SLIPA laryngeal mask operation is more convenient ,inexpensive, can significantly reduce the gastric contents aspiration risk, and it is worthy of clinical application.
出处
《河北医科大学学报》
CAS
2011年第6期666-668,共3页
Journal of Hebei Medical University
关键词
喉罩
心肺复苏术
插管法
气管内
laryngeal mask airway
cardiopulmonary resuscitation
intubation, intratracheal
