| 杨明,田雪,李青,等.经皮环甲膜穿刺置管院前急救治疗急性上呼吸道阻塞 121例[J].安徽医药,2021,25(5):992-995. |
| 经皮环甲膜穿刺置管院前急救治疗急性上呼吸道阻塞 121例 |
| Clinical study on transcutaneous puncture catheterization of cricothyroid membrane in pre-hospital to treat patients with acute upper airway obstruction |
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| DOI：10.3969/j.issn.1009-6469.2021.05.036 |
| 中文关键词: 气道阻塞 经皮环甲膜穿刺置管 气管插管 环甲膜穿刺 面罩吸氧 并发症 |
| 英文关键词: Airway obstruction Transcutaneous puncture catheterization of cricothyroid membrane Tracheal intubation Puncture of the cricothyroid membrane Oxygen inhalation by mask Complications |
| 基金项目:廊坊市科学技术研究与发展计划( 2016013011) |
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| 中文摘要: |
| 目的探究经皮环甲膜穿刺置管在院前救治急性上呼吸道阻塞病人的临床效果。方法选取 2006年 5月至 2016年 5月廊坊市人民医院急性上呼吸道阻塞病人 227例，其中采用经皮环甲膜穿刺置管治疗的病人 121例，作为观察组，采用常规治(气管插管、环甲膜穿刺、面罩吸氧)的病人 106例作为对照组。比较两组治疗情况、治疗效果、并发症发生率、治疗前后血气指疗标［动脉血氧分压(PaO2)、血氧饱和度( SaO2)、动脉血二氧化碳分压(PaCO2)］及病人对救治工作满意度。结果观察组建立气道时间少于对照组［(28.26±8.30)s比( 40.19±11.54)s，P<0.05］；观察组呼吸稳定时间［( 29.51±8.19)s比( 41.28±10.8)s］、呼吸困难改善时间［( 37.62±10.35)s比( 50.11±11.6)s］、呼吸稳定时间［(40.96±9.75)s比( 58.23±11.2)s］、心率恢复正常时间［( 2.35± |
| 英文摘要: |
| Objective To explore the clinical effect of transcutaneous puncture catheterization of cricothyroid membrane in the pre-hospital treatment of patients with acute upper airway obstruction.Methods From May 2006 to May 2016, the clinical data of 227 patients in pre-hospital with acute upper airway obstruction in the Langfang People′s Hospital were selected and analyzed retrospectively,among them, 121 patients were treated with transcutaneous puncture catheterization of cricothyroid membrane as the observation group,a total of 106 patients were treated with conventional treatment (tracheal intubation, cyclomembrane puncture, mask oxygen) as the control group. The treatment status, treatment effect, complication rate and blood gas index [arterial blood oxygen pressure (PaO2), blood oxygen saturation (SaO2), arterial blood carbon dioxide pressure (PaCO2)] before and after treatment, and patient satisfaction with treatment were compared between the two groups.Results The time to establish airway in the observation group was less than that in the control group ((28.26±8.30)s vs. (40.19±11.54)s,P<0.05); the time of stable breathing[(29.51±8.19)s vs. (41.28±10.8)s], the time of improvement of dyspnea[(37.62±10.35)s vs. (50.11±11.6)s], the time of breathing stabilization[(40.96±9.75)s vs. (58.23±11.2)s], and the time of returning to normal heart rate[(2.35±0.86)min vs. (3.37±0.79)min] in the observation group were shorter than those in the control group (P<0.05); in the observation group, PaO2 and SaO2 were higher than those in the control group and PaCO2 was lower than those in the control group at 10 and 20 minutes after treatment (P<0.05); the incidence of complications in the observation group (16.53%) was lower than that in the control group (37.74%) (P<0.05);The overall satisfaction of treatment work of the observation group was betterthan that of the control group, and the satisfaction rate of the observation group was significantly higher than that of the control group,with statistically significant differences (P < 0.05).Conclusion Transcutaneous puncture catheterization of cricothyroid membrane in pre-hospital to treat patients with acute upper airway obstruction can significantly shorten the time to establish the airway, reduce thepossibility of trauma, effectively promote the recovery of patients′ breathing, heartbeat and blood oxygen status, and the incidence ofcomplications is low, and the patient′s satisfaction with the treatment is high, it is a safe and efficient treatment method . |
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