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目的:翻转法置入小儿ProSeal喉罩在心肺复苏中的应用效果。方法:80例CPR过程中需插入食管引流型喉罩(PLMA)的小儿随机分为翻转组(R组)和标准组(S组)两组,对成功置入喉罩时间、置入次数、变换置入方法次数及喉罩漏气,喉罩反折,罩体带血,操作者手指痛感等不良反应和CPR成功率进行比较。结果:R组喉罩置入时间明显短于S组(P<0.05),置入一次成功率明显高于S组(P<0.05),R组操作者手指痛感明显少于S组(P<0.05),CPR成功率R组心肺复苏成功23例(57.5%)明显高于S组15例(37.5%)(P<0.05)。结论:小儿ProSeal喉罩翻转置入法操作快速安全有效,提高抢救成功率。
OBJECTIVE: To evaluate the effect of flip method on pediatric ProSeal laryngeal mask in cardiopulmonary resuscitation. Methods: Eighty children undergoing esophageal drainage laryngeal mask (PLMA) during CPR were randomly divided into two groups: the inversion group (R group) and the standard group (S group). The laryngeal mask placement time, placement times, The number of transposition and placement of laryngeal mask leakage, laryngeal mask reflex, mask blood, the operator finger pain and other adverse reactions and CPR success rate were compared. Results: The laryngeal mask placement time in group R was significantly shorter than that in group S (P <0.05), and the success rate was significantly higher in group R than in group S (P <0.05). The finger pain in group R was significantly less than that in group S (P < 0.05). The successful rate of CPR in 23 cases (57.5%) of R group was significantly higher than that of 15 cases (37.5%) in S group (P <0.05). Conclusion: The operation of pediatric ProSeal laryngeal mask flip operation is quick and safe and effective, which can improve the success rate of rescue.