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目的:通过分析院前心脏骤停患者心肺复苏时2种通气方式疗效,提高院前心肺复苏成功率。方法:回顾性分析2011年5月～2012年11月间院前428例心脏骤停患者2种通气方式疗效,据通气方式不同分为2组,一组为插管组,一组为面罩组,进行复苏效果评价。结果:插管组ROSV有效率、院前复苏成功率明显高于面罩组(P<0.05),插管组的ROSC有效率与面罩组无明显差异(P>0.05)。结论:及时、正确地实施CPR是提高院前心肺复苏成功率的关键;掌握建立高级气道时机、快速有效进行气管插管后人工通气同时尽量减少胸外按压停顿能提高院前复苏成功率。
OBJECTIVE: To improve the success rate of pre-hospital CPR by analyzing the efficacy of two kinds of ventilation during cardiopulmonary resuscitation in patients with pre-hospital cardiac arrest. Methods: A retrospective analysis of 428 patients with cardiac arrest in hospital from May 2011 to November 2012 retrospectively analyzed the effect of two kinds of ventilation methods, divided into two groups according to different ventilation methods, one for the intubation group and one for the mask group , The recovery effect evaluation. Results: The effective rate of ROSV in intubation group was significantly higher than that in mask group (P <0.05). The effective rate of ROSC in intubation group was not significantly different from that in mask group (P> 0.05). Conclusions: The timely and correct implementation of CPR is the key to improve the success rate of pre-hospital CPR. To master the advanced airway timing, rapid and effective artificial ventilation after tracheal intubation, and to minimize the pause of chest compressions can improve the success rate of prehospital resuscitation.