SLIPA喉罩在急诊心肺复苏困难插管中的应用

摘要

Objective To investigate the value of SLIPA laryngeal mask for difficult intubation in the emergency cardiopulmonary resuscitation in clinical applications.Methods A total of 108 cardiopulmonary resuscitation patients with difficult intubation were randomly divided into L group, S group and Q group with 36 cases in each group.SLIPA laryngeal mask airway insertion was used in S group, standard laryngeal mask airway ( LMA ) insertion in L group, and endotracheal intubation in Q group.The intubation success rate, insertion time, gastric content aspiration rate and success rate of cardiopulmonary resuscitation were compared among the 3 groups.Results ①The placement success rate of S group and L group were significantly higher than that of Q group ( P ＜ 0.01, P ＜ 0.05 ); There was no significant difference between S group and L group.②The insertion time of S group and L group were significantly shorter than that of Q group ( P ＜ 0.01, P ＜ 0.05 ), and S group was significantly shorter than L group ( P ＜ 0.05 ).③the success rate of cardiopulmonary resuscitation: in S group and L group were significantly higher than that of Q group, S group and L group showed no significant difference ( P ＞ 0.05 ).④The rate of aspiration of gastric content in S group was significantly less than the L group and the Q group ( P ＜ 0.05 ), L group and the Q group showed no significant difference ( P ＞ 0.05 ).Conclusion Compared to tracheal intubation and LMA, SLIPA layyngeal mask operation is more convenient,inexpensive ,can significantly reduce the gastric contents aspiration risk, and it is worthy of clinical application.%目的 探讨SLIPA喉罩在急诊心肺复苏困难插管中的临床应用价值.方法 肺复苏困难插管患者108例,按随机数字表法分为L组、S组和Q组各36例.S组采用SLIPA喉罩置入,L组采用标准型喉罩(standard laryngeal maskairway,LMA)置入,Q组采用气管内插管.比较3组一次置入成功率、置入时间、胃内容物误吸率和心肺复苏成功率.结果 ①一次置入成功,S组、L组一次置入成功率均明显高于Q组(P＜0.01,P＜0.05＝;S组和L组比较差异无统计学意义(P＞0.05).②置入时间,S组、L组置入时间均明显短于Q组(P＜0.01,P＜0.05＝,S组明显短于L组(P＜0.05＝.③心肺复苏成功率,S组、L组心肺复苏成功率均明显高于Q组,S组和L组比较差异无统计学意义(P＞0.05).④胃内容物误吸率,S组胃内容物误吸率明显少于L组和Q组(P＜0.05＝,L组和Q组比较差异无统计学意义(P＞0.05).结论 与气管插管和LMA比较,SLIPA喉罩操作更加简便,能够明显降低胃内容物反流误吸的危险,且价格低廉,值得在临床推广应用,