双管喉罩在深度昏迷患者院前急救中的应用效果

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Abstract Objective To explore the effectiveness of application of dual-tube laryngeal mask in pre-hospital first aid for patients with deep coma.Methods A total of 90 patients with deep coma who were treated in Huazhong University of Science and Technology Union Shenzhen Hospital from October 2019 to October 2020 were selected as the objects of this research and divided into the control group(30 cases),the contrast group(30 cases)and the study group(30 cases)according to the number grouping method.The control group was treated with air tube intubation method;the contrast group was treated with oropharyngeal ventilation tube method,and the study group was treated with double-tube laryngeal mask method.The effectiveness of pre-hospital first-aid,blood gas indexes(SaO2),arterial oxygen partial pressure(PaO2),partial pressure of carbon dioxide in artery(PaCO2)and lactic acid(LAC)before and 30 min after catheterization and complications during intubation were compared among the three groups.Results There was no significant difference in the first-aid effect between the study group and the control group(P>0.05),but the first-aid effect of the study group was better than that of the contrast group(P<0.05).SaO2 and PaO2 in the three groups 30 min after catheterization were higher than before catheterization,PaCO2 and LAC were lower than those before catheterization,the differences were statistically significant(P<0.05).The total incidence of complications during intubation in the study group was lower than that in the control group and the contrast group,the difference was statistically significant(P<0.05).Conclusion In the pre-hospital first aid of patients with deep coma,the improvement of hypoxemia by double-tube laryngeal mask is close to that by endotracheal intubation.However,in contrast,the double-tube laryngeal mask shows its superiority in the optimal timeliness,which can not only effectively improve the blood gas analysis index of patients,but also has high safety.Therefore,double-tube laryngeal mask has ideal application value in pre-hospital first aid for patients with deep coma.

Key words： Laryngeal mask Deep coma Pre-hospital first-aid Clinical effect

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	Articles by authors
	HUANG Lei-ming
	SHU Min
	LI Zhuo
	ZHU Jing

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HUANG Lei-ming,SHU Min,LI Zhuo, et al. Application effect of application of double-tube laryngeal mask in prehospital first aid for patients with deep coma[J]. 中国当代医药, 2021, 28(27): 73-75-79.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I27/73

[1]	高俭，王睿，申育琳，等.喉罩在深度昏迷患者院前急救中应用效果观察[J].人民军医，2015，58（1）：51-52.
[2]	梁振茂，李鹤，罗林，等.喉罩在深度昏迷患者院前急救的临床应用效果[J].中外医学研究，2016，14（2）：146-147.
[3]	赵莉.喉罩在深度昏迷患者院前急救的临床应用效果[J].特别健康，2017，11（19）：110-111.
[4]	贺江.喉罩在深度昏迷患者院前急救的临床应用探讨[J].养生保健指南，2018，10（47）：54.
[5]	孙卓军.喉罩与气管插管在重度颅脑损伤昏迷患者院前急救中的效果比较[J].中国当代医药，2019，26（30）：78-80，84.
[6]	聂亮，曾丽，胡芸.纤支镜联合超声定位喉罩在老年全麻患者气道管理中的应用[J].名医，2019，（12）：33.
[7]	李玲芝，王红杰，武广义，等.免充气喉罩在老年腹腔镜手术加速康复外科中的应用[J].腹腔镜外科杂志，2019，24（8）：630-633.
[8]	王宁，赵阳，杨斯钠.喉罩在妇科腹腔镜手术中的应用[J].饮食科学，2018，（16）：7.
[9]	刘勇.喉罩在困难气道处理中的临床应用分析[J].世界最新医学信息文摘，2018，18（69）：87，100.
[10]	魏之先.I-gel 喉罩在腹腔镜胆囊切除术全麻中的临床应用[J].中国医疗器械信息，2018，24（11）：104-105.
[11]	徐征珍.气管插管和喉罩置管在院前急救时的通气效果比较[J].当代护士（中旬刊），2020，27（2）：68-70.
[12]	虞大为，刘婷，任美玲，等.食管引流型喉罩在重型颅脑损伤院前急救中的应用[J].上海医学，2020，43（5）：284-288.
[13]	刁培胜.院前急救中喉罩与气管插管抢救心脏停搏患者的效果分析[J].中国医药指南，2020，18（5）：107.
[14]	曲泽芳.喉罩通气技术在急诊院前急救心肺复苏中的应用[J].健康大视野，2020，11（10）：241.
[15]	顾昀来.喉罩置管与气管插管在院前急救通气中应用的对比分析[J].中外医学研究，2020，18（3）：143-145.
[16]	朱立柏，李瑞金，薛峰.院前急救中喉罩置管与气管插管抢救心脏骤停效果比较[J].临床合理用药杂志，2020，13（13）：117-118.
[17]	李绪阳.探讨插管型喉罩通气在院前急救中对通气效果的影响[J].当代医学，2019，25（5）：148-149.
[18]	周世辉，翟桂兰，马雪.喉罩人工呼吸支持在急诊科院前急救心肺复苏术中的应用[J].中国医学物理学杂志，2019，36（8）：985-988.
[19]	秦吉安.喉罩置管与气管插管在院前急救通气应用中的对比分析[J].糖尿病天地，2020，17（12）：125.