摘要
目的探讨急诊科护士实施急救性气管插管的可行性。方法通过对全体急诊护士进行规范化培训，并对培训前后60例心肺复苏患者资料进行回顾性分析，通过对麻醉科医师（对照组）和急诊科护士（治疗组）的开始实施气管插管所需时间、完成捅管时间、插管成功率及复苏成功率进行比较。结果治疗组从决策到实施插管所需时间为（90±10）s（1～2min），显著短于对照组[（9±3）min，（6～12）min，P〈0．05]。治疗组心肺复苏成功率为53．3％（16／30），显著高于对照组（13．3％，4／30，P〈0．01），而2组在完成插管时间、插管成功率比较差异无统计学意义（均P〉0．05）。结论通过对急诊护士规范化培训，熟练掌握气管插管术，由急诊护士在第一时间完成急救性气管插管是切实可行和非常必要的。
Objective To study the feasibility, effect, and significance of urgent tracheal intubation by nurses of emergency department. Methods All nurses of the department of emergency had receirved standardized training on tracheal intubation. Sixty patients undergoing cardiopulmonary resuscitation without differences in sex, age, and underlying diseases were randomly divided into 2 equal groups to undergo tracheal intubation by the anesthesiologists （control group） and the nurses of emergency department （treatment group）. The time needed to begin the urgent tracheal intubation, the time needed to complete the urgent tracheal intubation, and the success rate of resuscitation were compared between these 2 groups. Results The time needed from the decision-making to the implementation of tracheal intubation of the treatment group was （90±10） seconds （1 - 2 min）, significantly shorter than that of the control group [（9±3 min）, （6 - 12 min）, P〈0.05]. The cardiopulmonary resuscitation success rate of the treatment group was 53.3% （16/30）, significantly higher than that of the control group （13.3%, 4/30, P〈0.01）. However, there were not significant differences in the time needed to complete the tracheal intuhation and the success rate of intubation between these 2 groups （both/9〉 0.05）. Conclusion It is feasible and very necessary that the nurses of emergency department skillfully master the method of tracheal intubalion through standardized training and becume able to complete tracheal intubation in the first time
出处
《中国急救复苏与灾害医学杂志》
2010年第2期149-150,共2页
China Journal of Emergency Resuscitation and Disaster Medicine
关键词
气管插管
急诊科
护土
培训
心肺复苏
Intubation, tracheal
Department of emergency
Nurses
Training
Cardiopulmonary resuscitation
