气管插管在脑血管意外昏迷患者院前急救时预防吸入性肺炎的效果评价

目的探究实施气管插管对脑血管意外昏迷患者院前急救时预防吸入性肺炎的效果。方法抽取2018年1月~2019年12月期间收治的脑血管意外昏迷患者60例作为研究对象,根据随机数字表法分为两组,对照组采取常规急诊救护,观察组采取急救现场气管插管救护,观察对比两组患者血气指标变化,记录且计算两组患者急救成功率与发生吸入性肺炎的概率。结果两组患者急救前血气各项指标差异无统计学意义(P>0.05)。观察组患者及时接受气管插管后,血气相应指标均明显优于对照组(P<0.05)。另外,观察组患者急救成功率明显高于对照组,发生吸入性肺炎的概率相比于对照组低(P<0.05)。结论脑血管意外昏迷患者接受院前急救时及时予以气管插管能够有效保障气道安全,提高急救成功率,避免患者发生吸入性肺炎。

Evaluation of the effect of endotracheal intubation in the prevention of aspiration pneumonia during the first-aid of patients with cerebrovascular accident coma

Objective To explore the effect of endotracheal intubation in the prevention of aspiration pneumonia during the first-aid of patients with cerebrovascular accident coma.Methods A total of 60 patients with cerebrovascular accident coma admitted in our hospital from January 2018 to December 2019 were selected as the research object.They were divided into two groups according to the random number table method.The control group was given routine emergency care,and the observation group was given emergency care on-site endotracheal intubation.Rescue,observe and compare the changes of blood gas indexes of the two groups of patients,record and calculate the success rate of first aid and the probability of aspiration pneumonia in the two groups of patients.Results The blood gas indexes of the two groups of patients before the first aid were basically similar(P>0.05).After the observation group received the endotracheal intubation in a timely manner,the corresponding indexes of blood gas were significantly better than the control group(P<0.05).The success rate of emergency treatment in the observation group was significantly higher than that in the control group,and the probability of aspiration pneumonia was lower than that in the control group(P<0.05).Conclusion Cerebrovascular accident coma patients receive endotracheal intubation in time when receiving pre-hospital emergency treatment,which can effectively ensure airway safety,improve the success rate of first aid,and prevent patients from aspiration pneumonia.