急诊科护士实施气管插管的临床意义.pdfVIP

救复苏与灾害医学杂志 2010年2月第5卷第2 · 149 · · 论 著 急诊科护士实施气管插管的临床意义 戴艳 【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)Sf1～2min)，显著短于对照组 (『9-+3)min，f6～12)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，P0．01)，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p0．05)。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。 【关键词】气管插管 ；急诊科；护土；培训 ；心肺复苏 Clinicalsignificanceoftrachealintubationbynursesofdepartmentofemergency DAIYan DepartmentofEmergency，／~)rstPeople HospitalofJiashanCounq，Jiashan314100，China [Abstract]0bjectiveIostudythefeasibility，effect，andsignificanceofurgenttrachealintubationby nursesofemergencydepartment．MethodsAllnursesofthedepartmentofemergencyhadreceirvedstandardized trainingontrachealintubation．Sixtypatientsundergoingcardiopulmonaryresuscitationwithoutdifferencesin sex，age，andunderlyingdiseaseswererandomlydividedinto2equalgroupstoundergotrachealintubationby theanesthesiologists(controlgroup)andthenursesofemergencydepartnmnt(treatmentgroup)．Thetimeneeded tobegintheurgenttrachealintubation，thetimeneeded tocompletetheurgenttrachealintubation，andthe Successrate ofresuscitation were compared between these 2 groups．Results The time needed from the decision—makingtotheimplementationoftrachealintubationofthetreatmentgroupwas(90+10)seconds(1～2 rain)，significantlyshorterthanthatofthecontrolgroup[(9±3rain)，(6～12min)，PO．o5]．Thecardiopulmonary resuscitationsuccessrateofthetreatmentgroupwas53I3％ f16／3o)，significantlyhigherthanthatofthecontrol groupf13-3％，4／30，P0．01)．However，therewerenotsignificantdifferencesinthetimeneededtocomplete thetrachealintubationandthesuccessrateofintubationbetweenthese2groupsfbothP0．o5)．ConclusionItis feasibleandverynecessary thatthenurses