喉罩通气与面罩通气对院外心脏骤停患者复苏效果的Meta分析

doi:10.3969/j.issn.1002-1949.2019.04.016

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摘要目的综合评价喉罩通气与面罩通气对院外心脏骤停（out of hospital cardialc arrest, OHCA）患者急救复苏的效果。方法采用Meta分析方法制定原始文献的纳入标准、排除标准及检索策略，检索多个中英文文摘型数据库及全文数据库，获得喉罩通气与面罩通气前瞻性和回顾性研究，进行文献质量评价后，应用Rev Man 5.3分析软件进行敏感性和异质性分析，并采用固定效应或随机效应模型计算合并后的综合效应。结果共纳入9篇病例对照研究，Meta分析结果显示，排除异质性，喉罩通气较面罩通气具有较高的院外心脏骤停（OHCA）患者复苏成功率（OR=2.28,95%CI1.74-2.99 Z=5.97,P<0.01），但对复苏成功后1个月生存率、复苏成功率及神经系统功能恢复方面的影响效果无统计学意义（P>0.05）。结论喉罩通气具有更高的院外心脏骤停患者复苏成功率，但对远期效果生存几率及神经系统的改善情况还需要大样本、多中心RCT研究有待进一步验证。

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	陶香君
	顾伟
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	刘小娟

关键词 ：喉罩通气(LMV), 面罩通气(BVM), 院外心脏骤停(OHCA), Meta分析

通讯作者: 刘小娟（1966-），女，主任护师，科护士长，E-mail:liuxiaojuanyang@sina.com。

作者简介: 陶香君（1989-），女，硕士，护师，E-mail:taoxiangjunmm1@126.com。

引用本文:

陶香君，顾伟，董凯生，王颖，刘小娟. 喉罩通气与面罩通气对院外心脏骤停患者复苏效果的Meta分析[J]. 中国急救医学, 2019, 39(4): 371-376.
Tao Xiang-jun, Gu Wei, Dong Kai-sheng, Wang Ying, Liu Xiao-juan. Laryngeal mask and bag valve mask in out-of-hospital cardiac arrest: a meta-analysis. Chinese Journal of Critical Care Medicine, 2019, 39(4): 371-376.

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http://www.cnemergency.org.cn/CN/10.3969/j.issn.1002-1949.2019.04.016 或 http://www.cnemergency.org.cn/CN/Y2019/V39/I4/371

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