简体中文

·胸部疾病·

便携式呼吸机在院前急救危重患者中的应用效果

作者:黄敬伟

所属单位:福建省永安市立医院ICU (福建 永安 366000)

PDF

摘要

目的 探讨分析便携式呼吸机在院前急救危重患者中的应用。方法 选取我院2005年8月至2014年12月期间接收治疗 的100例急救危重需采用心肺复苏治疗的患者作为研究分析对象,将所选患者按急救方式分为对照组和研究组(患者 和患者家属均知晓本次救治方案,并签字确认),每组各50例,对照组采用人工气囊辅助呼吸,研究组采用便携式 呼吸机,比较两组患者抢救状况和生命体征指数。结果 比较两组患者抢救后心肺复苏成功率,研究组(34%)明显高 于对照组(10%),且数据存在一定差异,具有统计学意义(P<0.05)。比较两组患者抢救过程中各体征指数,包含 HR、SPO2、SBP、DBP等几个方面,研究组明显优于对照组,且数据存在统计学意义(P<0.05)。结论 院前急救危重 患者抢救过程中可采用便携式呼吸机,此方法可使心肺复苏成功率提高,患者各项生命体征指数得到更好的改善。

Objective To probe into the application of portable ventilator in critically ill patients in prehospital. Methods 100 patients with critically ill and who were treated with cardiopulmonary resuscitation in our hospital from August, 2005 to December, 2014 were taken as the research objects, and these patients were randomly divided into the control group and the study group according to first aid (patients and patients' families were aware of the treatment plan, and signed confirmation), with 50 patients in each group. In the control group, they were given the artificial balloon assisted respiration while in the study group, they were treated with the portable ventilator. Then, the rescue status and vital signs index of two groups of patients were compared. Results The success rate of cardiopulmonary resuscitation in two groups were compared while in the research group of 34% was significantly higher than that in the control group of 10%, and the data had statistically significant (P<0.05). In addition, the index of every sign in the rescue process of two groups of patients were compared including SPO2, SBP, DBP, HR and other aspects, which in the study group was significantly better than those in the control group, and the data had statistically significant (P<0.05). Conclusion The portable ventilator can be used in critically ill patients in prehospital which this method can improve the success rate of cardiopulmonary resuscitation, and improve the vital signs index of patients.

【关键词】便携式呼吸机;抢救;急救危重;急救;心肺复苏

【中图分类号】R459.7;

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2015.06.011

前言

院前急救指急救危重患者的院外急救,广义概 念指患者发病时目击者或相关医护人员进行的现场 急救,狭义的院前急救指存在医疗基本要素、运输 工具、通讯器材等所构成的专业急救机构,在患者入 院之前所进行抢救和监护活动[1]。院前急救具有较强 随机性、及时性、流动性、疾病病情复杂等特点。保 证急救体系的完善,可提高急救质量,急救过程中配 合使用先进的急救设备,对院前急救患者赢得了宝贵 时间,提高抢救成功率。本文选取我院2012年8月至 2014年11月期间接收治疗的100例急救危重需采用心 肺复苏治疗的患者作为研究分析对象,分为两组,其中一组采用便携式呼吸机进行抢救,意在探讨分析便 携式呼吸机在院前急救危重患者中的应用状况。具体 报告如下。