可视喉镜气管插管对心跳骤停抢救患者血流动力学及心肺复苏质量的影响

摘要 目的：探讨可视喉镜气管插管对心跳骤停抢救患者血流动力学及心肺复苏质量的影响。方法：选取联勤保障部队第九四〇医院于2020年4月~2022年5月期间收治的98例心跳骤停抢救患者为研究对象，根据插管方式将患者分为B组（可视喉镜气管插管，n=50）、A组（传统直接喉镜气管插管，n=48）。对比两组插管次数、声门暴露时间、插管时间、气道与牙齿损伤、心肺复苏质量及血流动力学指标变化情况，观察两组不良反应发生情况。结果：B组的插管次数少于A组，声门暴露时间、插管时间短于A组，气道与牙齿损伤比例少于A组（P<0.05）。B组的插管成功率、心肺复苏（CPR）成功率、存活率均高于A组（P<0.05）。B组插管后15 min的收缩压（SBP）、舒张压（DBP）、平均动脉压（MAP）及心率（HR）均低于A组同期（P<0.05）。B组的不良反应发生率低于A组（P<0.05）。结论：相比于传统直接喉镜气管插管用于心跳骤停抢救患者，可视喉镜气管插管可维持血流动力学稳定，提高插管成功率和心肺复苏质量，安全性较好。

Effect of Visual Laryngoscope Tracheal Intubation on Hemodynamics and Cardiopulmonary Resuscitation Quality in Rescue Patients with Cardiac Arrest

ABSTRACT Objective: To explore the effect of visual laryngoscope tracheal intubation on hemodynamics and cardiopulmonary resuscitation quality in rescue patients with cardiac arrest. Methods: 98 rescue patients with cardiac arrest who were admitted to the Joint Support Force 940 Hospital from April 2020 to May 2022 were selected as the research subjects. According to the intubation method, the patients were divided into Group B (visible laryngoscopic tracheal intubation, n=50) and Group A (traditional direct laryngoscopic tracheal intubation, n=48). The changes in intubation frequency, glottic exposure time, intubation time, airway and tooth injuries, cardiopulmonary resuscitation quality, and hemodynamic indicators between the two groups were compared, and the occurrence of adverse reactions in the two groups were observed. Results: The intubation frequency in Group B was less than that in Group A, and the exposure time and intubation time of the glottis were shorter than those in Group A, and the proportion of airway and tooth injuries was lower than that in Group A (P<0.05). The success rate of intubation, cardiopulmonary resuscitation (CPR), and survival rate in Group B were higher than those in Group A (P<0.05). The systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), and heart rate (HR) in Group B at 15 minutes after intubation were lower than those in Group A during the same period(P<0.05). The incidence of adverse reactions in Group B was lower than that in Group A (P<0.05). Conclusion: Compared to traditional direct laryngoscopic tracheal intubation used for rescuing patients with cardiac arrest, visual laryngoscopic tracheal intubation can maintain hemodynamic stability, improve the success rate of intubation and the quality of cardiopulmonary resuscitation, and have better safety.