气囊面罩联合气管插管通气救治对急诊心肺复苏患者动脉血气指标及预后的影响

摘要 目的：观察气囊面罩联合气管插管通气救治对急诊心肺复苏患者动脉血气指标及预后的影响。方法：选取中国人民解放军联勤保障部队第九四〇医院2020年4月-2022年10月期间收治的急诊心肺复苏患者86例作为研究对象。根据通气方式的不同将患者分为A组（n=41，常规气管插管通气救治）和B组（n=45，气囊面罩联合气管插管通气救治）。对比两组临床指征、急性生理与慢性健康评分（APACHEⅡ）、血气指标二氧化碳分压（PCO2）、实际碳酸氢根（AB）、氧分压（PO₂）、二氧化碳总量（TCO₂）]、复苏成功率、格拉斯哥昏迷评分（GCS）、6个月存活率。结果：与A组相比，B组的自主呼吸恢复时间、心跳恢复时间、气道开放时间、意识恢复时间更短（P<0.05）。治疗后B组AB、TCO₂、PCO₂低于A组，PO₂高于A组（P<0.05）。治疗后B组APACHEⅡ评分低于A组，GCS高于A组（P<0.05）。B组的复苏成功率、6个月存活率高于A组（P<0.05）。结论：急诊心肺复苏患者使用气囊面罩联合气管插管通气救治，患者的临床指征、动脉血气指标均得到显著改善，且预后良好。

Effect of Airbag Mask Combined with Tracheal Intubation Ventilation Treatment on Arterial Blood Gas Index and Prognosis in Patients with Emergency Cardiopulmonary Resuscitation

ABSTRACT Objective: To observe the effect of airbag mask combined with tracheal intubation ventilation treatment on arterial blood gas index and prognosis in patients with emergency cardiopulmonary resuscitation. Methods: 86 patients with emergency cardiopulmonary resuscitation admitted to The 940 Hospital of Joint Logistics Support Force from April 2020 to October 2022 were selected as research objects. Patients were divided into group A (n=41, conventional tracheal intubation ventilation treatment) and group B (n=45, airbag mask combined with tracheal intubation ventilation treatment) according to the different ventilation methods. The clinical indications, acute physiology and chronic health score (APACHE II), blood gas indexes partial pressure of carbon dioxide (PCO₂), actual bicarbonate (AB), partial pressure of oxygen (PO₂), total carbon dioxide (TCO₂)], resuscitation success rate, Glasgow coma score (GCS) and 6-month survival rate were compared between two groups. Results: Compared with group A, the spontaneous breathing recovery time, heartbeat recovery time, airway opening time and consciousness recovery time in group B were shorter(P<0.05). AB, TCO₂ and PCO₂ in group B were lower than those in group A after treatment, and PO₂ was higher than that in group A(P<0.05). The APACHE II score in group B was lower than that in group A after treatment, and the GCS was higher than that of group A(P<0.05). The success rate of resuscitation and 6-month survival rate in group B were higher than those in group A(P<0.05). Conclusion: Patients with emergency cardiopulmonary resuscitation were treated with airbag mask combined with tracheal intubation ventilation, the clinical indications and arterial blood gas indexes of the patients were significantly improved, and the prognosis was good.